Published in:
01-08-2014 | Case Report
Kugel patch repair of superior lumbar hernias
Authors:
X. Zhou, J. Zhang, H. Hu
Published in:
Hernia
|
Issue 4/2014
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Excerpt
In 1866, Grynfeltt was the first to report a hernia through the superior lumbar triangle, which now bears his name [
1]. The superior lumbar triangle is an inverted triangle bounded by the internal oblique muscle anteriorly, the erector spinae muscle posteriorly, and the 12th rib and serratus posterior inferior muscle superiorly, which forms the base of the triangle. The roof is formed by the latissimus dorsi muscle. The floor is consisted of transversalis fascia and the aponeurosis of the transverse abdominis muscle [
2]. Of primary lumbar hernia, about 24 % become incarcerated [
3] and 18 % will actually be strangulated [
4]; therefore, it is recommended that both primary and secondary lumbar hernias be repaired early [
5]. …