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1

Shanthi, P. S., Vikas C. Kawarat, and Adithi Shankar. "Challenging hernias: a case series of atypical hernias and review of literature." International Surgery Journal 10, no. 4 (2023): 678–83. http://dx.doi.org/10.18203/2349-2902.isj20230976.

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Atypical hernias encompass the categories of flank, lumbar, spigelian, suprapubic and subxiphoid hernias among other rarer variants. These are considered to be tribulation in terms of their diagnosis and management, in that they are in proximity to the bone, which makes defect delineation, adequate mesh overlap, and fixation very challenging. Here, we would like to highlight a selection of our institutional experience with such hernias and their management. Within the institution, 6 cases of such rare hernias repaired within the last 6 months were chosen that posed a therapeutic challenge to t
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2

Raza, Syed Shahmeer, Eemaz Nathaniel, Syed Arsalan Ali Shah, et al. "An island of muscular free flap-laparoscopic repair of recurrent incisional hernias presenting as left flank mass: a case report." Journal of Rehman Medical Institute 8, no. 2 (2022): 23–25. http://dx.doi.org/10.52442/jrmi.v8i2.425.

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Incisional hernias present as ventral hernias but very rarely they may present as a recurrent hernia in the flank. We present the case of a 67-year-old male with past surgical history significant for open repair of recurrent ventral incisional hernia, previous component separation and surgical removal of infected mesh two years back; now presenting with a left lateral flank mass later confirmed as left lateral incisional hernia upon CT scan. The patient was planned for a laparoscopic incisional hernia repair with 20*20 cm Ventralight mesh. At 3 months postoperative follow-up visit the patient
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3

Mattison, Gennaya Lynn, Seung Ah Lee, Daniel Enjay Wong, Elyse Leevan, Joseph Christopher Carmichael, and Gregory Randolph Dean Evans. "Recurrent Lateral Abdominal Wall Hernias: Options for Reconstruction." Plastic and Reconstructive Surgery - Global Open 11, no. 9 (2023): e5007. http://dx.doi.org/10.1097/gox.0000000000005007.

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Summary: Management of lateral abdominal wall hernias presents a surgical challenge, and best management is controversial. Flank hernias as a surgical sequela occur more commonly, whereas flank hernias resulting from trauma are a rare occurrence. In this article, we present a review of the literature and a case of flank hernia presenting after trauma and recurring after repair. An anchored suture repair was performed and reinforced by the addition of a polyester underlay mesh.
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4

Rafols, Marc, Daniel Bergholz, Anthony Andreoni, Chase Knickerbocker, Jennifer Davies, and Robert A. Grossman. "Bilateral Lumbar Hernias Following Spine Surgery: A Case Report and Laparoscopic Transabdominal Repair." Case Reports in Surgery 2020 (July 31, 2020): 1–4. http://dx.doi.org/10.1155/2020/8859106.

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Lumbar hernias are rare abdominal wall defects. Fewer than 400 cases have been reported in the literature and account for 2% of all abdominal wall hernias. Lumbar hernias are divided into Grynfelt-Lesshaft or Petit hernias. The former are hernia defects through the superior lumbar triangle, while the latter are defects of the inferior lumbar triangle. Primary lumbar hernias are further subdivided into congenital or acquired hernias and can further be classified as either primary or secondary. Secondary hernias occur after previous flank surgeries, iatrogenic muscular disruption, infection, or
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5

Huttinger, Ryan M., Matthew S. Kazaleh, Dylan J. Skinner, and Marsha C. Nelson. "Concurrent Spigelian and Grynfeltt-Lesshaft Hernias." American Surgeon 88, no. 4 (2021): 807–9. http://dx.doi.org/10.1177/00031348211056275.

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Only 0.12% to 2% of diagnosed hernias are Spigelian type. Even less frequently encountered—Grynfeltt-Lesshaft hernias—hernias have unknown incidence. A Spigelian hernia is encountered along the Spigelian fascia and Grynfeltt-Lesshaft hernias are bounded by the superior lumbar triangle. These unique hernias can both be intermuscular, given their anatomical borders which allow concealment and preclusion of accurate diagnosis. Here, an 86-year-old male presented with symptoms consistent with small bowel obstruction. On physical exam, a right lower quadrant hernia and right posterior flank mass we
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6

B. B., Sunil Kumar, Ashwini Kumar Kumar Choudhary, and Lavanya Raghupathi. "Primary lumbar hernia: a rarely encountered ventral hernia." International Surgery Journal 7, no. 5 (2020): 1669. http://dx.doi.org/10.18203/2349-2902.isj20201892.

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Ventral hernia is a fascial defect located on the abdominal wall. Primary ventral hernias are named as umbilical, epigastric, spigelian and lumbar hernias. A lumbar hernia is a parietal wall defect that may occur anywhere in the lumbar region between the 12th rib and the iliac crest. A 47-year-old female, came with complaints of mass in left lower abdomen since 2 months. On clinical examination a defect of 8 × 8 cm was felt in the left lumbar region with positive cough impulse. CECT abdomen and pelvis was done to confirm lumbar hernia. Patient underwent mesh repair for the same. Lumbar and fla
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7

Mohamed, Mundhir Said, and Ramadhani Omari Abdalla. "Spontaneous Lumbar Hernia: A Case Report." Annals of African Surgery 20, no. 3 (2023): 99–102. http://dx.doi.org/10.4314/aas.v20i3.5.

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Lumbar hernias are rare, and the diagnosis can be easily missed. Acquired lumbar hernias can occur spontaneously; however, they are increasingly being reported due to trauma or flank surgery. A good history and examination can aid in diagnosis with imaging confirming the condition. Hernia repair can be laparoscopic or through open surgical approaches. We report a case of primary spontaneous lumbar hernia which was managed by an open approach to close the defect with retromuscular mesh placement.
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8

Ramaswamy, Archana, and Bruce Ramshaw. "Laparoscopic Flank Hernia Repair." Operative Techniques in General Surgery 8, no. 1 (2006): 52–61. http://dx.doi.org/10.1053/j.optechgensurg.2006.04.009.

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9

Rehm, C. G., and S. E. Ross. "Blunt traumatic flank hernia." Injury 24, no. 10 (1993): 678–79. http://dx.doi.org/10.1016/0020-1383(93)90320-6.

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10

Lee, Shin Ae, and Ye Rim Chang. "Repair of traumatic flank hernia with mesh strip suture: a case report." Journal of Trauma and Injury 35, Suppl 1 (2022): S46—S52. http://dx.doi.org/10.20408/jti.2022.0026.

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Traumatic flank hernia is a relatively rare hernia. We report a case of a male patient with severe multiple trauma, including abdominal injury, who presented with flank hernia 3 years postinjury. The hernia was successfully repaired using mesh strips suture, and at the 12-month follow-up, no complications or recurrence was found. Our findings indicate that when it is difficult to secure a sufficient operative field for mesh anchoring in a traumatic flank hernia, a technique of sutured repair with mesh strips may be considered as a treatment option as it requires less dissection. Compared to th
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11

Estudillo, Gamaliel Vázquez, Edwin Y. Ochoa Viveros, Amado Q. Nicasio Delgado, et al. "Recurrent petit traumatic hernia plasty: case report." International Surgery Journal 6, no. 2 (2019): 593. http://dx.doi.org/10.18203/2349-2902.isj20190410.

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Lumbar hernias are very infrequent posterior abdominal wall defects. They are usually located in the upper lumbar triangle and represent approximately 1.5-2% of all hernias of the abdominal wall. In fact, there are few cases described in the literature and most of the large hospital centers have published only 2 or 3 cases. This is a 34 year-old female, who suffered a car accident, in which bilateral femoral fracture and left humeral fracture, after recovery of said fractures has asymmetry of flanks with the appearance of volume increase in the left abdominal flank, computed tomography was per
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12

Beffa, Lucas R., Alyssa L. Margiotta, and Alfredo M. Carbonell. "Flank and Lumbar Hernia Repair." Surgical Clinics of North America 98, no. 3 (2018): 593–605. http://dx.doi.org/10.1016/j.suc.2018.01.009.

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13

Atikeler, M. K., V. Yuzgeç, and I. Gecit. "A Giant Incisional Flank Hernia." International Urology and Nephrology 37, no. 4 (2005): 699–700. http://dx.doi.org/10.1007/s11255-005-0245-x.

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14

Sharma, Munish, and Ajita Kapur. "Delayed onset post-herpetic pseudohernia: a case report." International Surgery Journal 4, no. 12 (2017): 4091. http://dx.doi.org/10.18203/2349-2902.isj20175417.

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Post herpetic pseudo hernia is a rare neurological complication of herpes zoster (HZ). It could lead to diagnostic confusion as abdominal wall herniation presents with similar clinical picture. We present a case of post herpetic pseudo hernia initially misdiagnosed by referring general physician as abdominal wall hernia. A 60-year-old man presented with painless swelling in the right flank for 1 week. The bulge was noticed two weeks after appearance of painful rash of HZ. On clinical examination, fading dried brown rashes were observed in right T10-11 dermatome. No hernial defect was palpable.
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15

Inanloo, Seyed Hassan, Mohammad Reza Nikoobakht, Hamed Akhavizadegan, and Mojgan Karbakhsh. "Ultrasound Guided Percutaneous Nephrolithotomy in Mesh-Repaired Incisional Hernia." Advances in Urology 2021 (November 28, 2021): 1–3. http://dx.doi.org/10.1155/2021/1537840.

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Objectives. To describe our technique of percutaneous nephrolithotomy (PNL) in patients with mesh-repaired flank incisional hernia. Polypropylene mesh which is used for fascia strengthening in hernia repair elicits intense inflammatory reaction and the consequent fibrosis alters the characteristics of abdominal wall. Thus, prior history of flank hernia repair with mesh may result in percutaneous nephrolithotomy failure. Materials and Methods. Demographic data, renal stones characteristics, and any complication during surgery and follow-up of patients who were treated by PNL during 2011 to 2020
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16

Best, Irwin M. "Complication of the Retroperitoneal Approach: Intercostal Abdominal Hernia." American Surgeon 67, no. 7 (2001): 635–36. http://dx.doi.org/10.1177/000313480106700708.

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The left thoracoabdominal incision with retroperitoneal dissection offers excellent exposure of the abdominal and thoracic aorta. Disadvantages to this approach include inadequate access to the right ileofemoral arterial segments and the right renal artery. Additional difficulties with this approach include flank bulges, hernias, and neuropathy. We present a case of an incisional hernia at the tenth interspace with subsequent herniation of the left colon through this defect. CT defined the extent of this defect and ruled out other significant pathology. The patient underwent an uneventful hern
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17

Hao, David, Charles Odonkor, Shane Volney, Mihir Kamdar, and Shihab Ahmed. "Management of incidental lumboiliac hernia during spinal cord stimulator implant: a case report." Regional Anesthesia & Pain Medicine 44, no. 11 (2019): 1033–34. http://dx.doi.org/10.1136/rapm-2019-100794.

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Lumboiliac or lumbar hernia is a rare defect in the posterolateral abdominal wall that may be inadvertently misidentified and interfere with the implantable pulse generator (IPG) portion of spinal cord stimulator (SCS) implants. We report the case of a 54-year-old Caucasian man with an incidental finding of a lumboiliac hernia in the inferior lumbar triangle of Petit with placement of an IPG in a SCS implant. With the assistance of surgical colleagues, the correct diagnosis was made intraoperatively. We describe the operative repair of the lumboiliac hernia with a synthetic mesh. A new IPG poc
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18

Parikh, Archit Pankaj Kumar, Parth Parikh, Dhaval Vadodariya, Jignesh P. Dave, and Jatin G. Bhatt. "Triple mesh technique in repair of recurrent lumbar incisional hernia." International Journal of Research in Medical Sciences 7, no. 12 (2019): 4803. http://dx.doi.org/10.18203/2320-6012.ijrms20195560.

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Lumbar hernias occur infrequently and can be congenital, primary (inferior or Petit type, and superior or Grynfeltt type), post-traumatic, or incisional. They are bounded by the 12th rib, the iliac crest, the erector spinae, and the external oblique muscle. Most postoperative incisional hernias occur in nephrectomy or aortic aneurysm repair incisions for which various surgical method in context of meshplasty are available. In this case 60 yr. male hypertensive patient presented to the outpatient clinic of institute with recurrent left side lumbar incisional hernia, patient was previously opera
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19

MAMAN BOUKARI, Haboubacar. "HERNIES POST-TRAUMATIQUES DITES GUIDON A PROPOS DE DEUX OBSERVATIONS." JOURNAL AFRICAIN DE CHIRURGIE 7, no. 4 (2023): 295–98. http://dx.doi.org/10.61585/pud-jafrchir-v7n411.

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Handlebar hernias or “handbar hernias” are hernias of the abdominal wall resulting from direct trauma to the anterior abdominal wall. Hernia through the abdominal wall usually occurs as a result of trauma with seat belts, motorcycles, bicycle handlebars, etc. They usually occur at weak anatomical locations in the abdominal wall. These traumatic hernias are rare, requiring a high index of suspicion for clinical diagnosis. Observation. They were two patients aged 14 and 45 years old, received in surgical consultation for left paraumbilical swelling. The anamnesis revealed a notion of a fall on a
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20

Al-Hilli, Z., J. Deasy, and J. Keaveny. "Flank hernia secondary to phenol nerve block." Irish Journal of Medical Science 179, no. 3 (2009): 451–53. http://dx.doi.org/10.1007/s11845-009-0312-x.

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21

C, Molnar, Tîlvescu C, Neagoe Vi, Butiurca Vo, Molnar Cv, and Copotoiu C. "Spigelian Port-site Hernia, a Complication after Laparoscopic Cholecystectomy - a Clinical Case Report." Acta Medica Marisiensis 59, no. 5 (2013): 242–45. http://dx.doi.org/10.2478/amma-2013-0055.

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AbstractIntroduction: Spiegelian hernias are rare entities in abdominal wall pathology (2%). They occur in the semilunar line described by Adriaan van den Spiegel. Klinklosch (1764) defined it as a congenital or acquired defect of the transverse abdominal aponeurosis junction with the Douglas arch. Port-site hernias due to wrong placement of laparoscopic trocars in the right abdominal flank are rare, but possible complications of laparoscopic cholecystectomy. Case presentation: Our observation shows diagnostic and therapeutic aspects in a patient with port-site Spigelian hernia post laparoscop
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22

Vivas, Andrew C., Jacob Januszewski, Luv Hajirawala, Jason M. Paluzzi, Shashank V. Gandhi, and Juan S. Uribe. "Incisional Hernia After Minimally Invasive Lateral Retroperitoneal Surgery: Case Series and Review of the Literature." Operative Neurosurgery 16, no. 3 (2018): 368–73. http://dx.doi.org/10.1093/ons/opy089.

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Abstract BACKGROUND Minimally invasive lateral retroperitoneal (lateral-MIS) approaches to the spine involve traversing the lateral abdominal wall musculature and fascia. Incisional hernia is an uncommon approach-related complication. OBJECTIVE To review the incidence, treatment, and preventative measures of incisional hernia after lateral-MIS approaches. METHODS This is a retrospective review of cases performed by a single surgeon from 2011 to 2016. All patients who underwent lateral-MIS approaches at this institution were included. Patients with a postoperative diagnosis of lateral hernia on
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23

Blair, Laurel J., Tiffany C. Cox, Ciara R. Huntington, et al. "Bone Anchor Fixation in Abdominal Wall Reconstruction: A Useful Adjunct in Suprapubic and Para-iliac Hernia Repair." American Surgeon 81, no. 7 (2015): 693–97. http://dx.doi.org/10.1177/000313481508100718.

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Suprapubic hernias, parailiac or flank hernias, and lumbar hernias are difficult to repair and are associated with high-recurrence rates owing to difficulty in obtaining substantive overlap and especially mesh fixation due to bone being a margin of the hernia. Orthopedic suture anchors used for ligament reconstruction have been used to attach prosthetic material to bony surfaces and can be used in the repair of these hernias where suture fixation was impossible. A prospective, single institution study of ventral hernia repairs involving bone anchor mesh fixation was performed. Demographics, op
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24

Yamamoto, Takatsugu, Yukiko Kurashima, Chie Watanabe, et al. "Incisional Intercostal Hernia With Prolapse of the Colon After Right Partial Nephrectomy." International Surgery 98, no. 4 (2013): 412–15. http://dx.doi.org/10.9738/intsurg-d-13-00002.1.

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Abstract A 75-year-old woman with a history of myocardial infarction, gallstones, and right renal cancer was referred to our department because of right flank pain. She had a surgical scar on the right abdomen between the 10th and 11th ribs; computed tomography demonstrated intercostal herniation of the colon. Recognizing the possibility of adhesions of the hernia and colon, we used a median skin incision and patched a polyester mesh coated with absorbent collagen. The patient had an uneventful postoperative course, with no pain for 6 months postoperatively. Transdiaphragmatic intercostal hern
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KAMAL, Khadija, Lamiaa MOURAFI, Khalid JAMALEDDINE, et al. "A Rare Case of Lateral Abdominal Wall Hernia: Case Report and Literature Review." INTERNATIONAL JOURNAL OF HEALTH & MEDICAL RESEARCH 04, no. 01 (2025): 53–57. https://doi.org/10.5281/zenodo.14710827.

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Lateral abdominal wall hernias are rare and complex defects that present unique surgical challenges due to their anatomical location and the underlying musculofascial structures involved. These hernias can result from congenital defects, such as those in the Grynfelt or Petit triangles, or from trauma. Surgical management typically requires a tailored approach to address the complexity of the defect and its potential for significant functional and aesthetic impact. We present the case of a 51-year-old male patient with a right lateral abdominal wall hernia classified as L4 according to the Eur
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26

Mahdi, A. K. "Evaluation of two biological matrices for repairing of ventral hernia in bucks." Iraqi Journal of Veterinary Medicine 42, no. 2 (2019): 21–32. http://dx.doi.org/10.30539/iraqijvm.v42i2.282.

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The aim of this study was to estimate the changes in ventral hernia repairing in Iraqi bucks by using two biological matrixes derived from bovine (pericardium and urinary bladder matrix) through histopathological examination. All bucks right lower flank awas prepared surgically, sedation were done by using (2% Xylazine hydrochloride) at a dose of 0.2mg/kg intramuscular, and surgical site anesthetized through an inverted (L) shape local infiltration technique using lidocaine hydrochloride (2%) at a dose of 8mg/kg. Ventral abdominal hernias were induced in (24) bucks through elliptical resection
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27

CLAUS, Christiano Marlo Paggi, Lucas Thá NASSIF, Yan Sacha AGUILERA, EduardoJose Brommelstroet RAMOS, and Julio Cesar Uili COELHO. "LAPAROSCOPIC REPAIR OF LUMBAR HERNIA (GRYNFELT): TECHNICAL DESCRIPTION." ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) 30, no. 1 (2017): 56–59. http://dx.doi.org/10.1590/0102-6720201700010016.

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ABSTRACT Background: Lumbar hernias are rare. Usually manifest with reducible volume increase in the post-lateral region of the abdomen and may occur in two specific anatomic defects: the triangles of Grynfelt (upper) and Petit (lower). Despite controversies with better repair, laparoscopic approach, following the same principle of the treatment of inguinal hernias, seems to present significant advantages compared to conventional/open surgeries. However, some technical and anatomical details of the region, non usual to general surgeons, are fundamental for proper repair. Aim: To present system
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28

Onafowokan, Oluwatobi, Dabanjan Bandyopadhyay, Dale Johnson, and Hugo J. R. Bonatti. "Incarcerated Lumbar Hernia Complicated by Retroperitoneal Pseudoaneurysm 50 Years after Resection and Radiation Therapy of a Sarcoma." Case Reports in Surgery 2019 (April 28, 2019): 1–6. http://dx.doi.org/10.1155/2019/1072821.

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Background. Lumbar hernias are rare abdominal hernias. Surgery is the only treatment option but remains challenging. Posterior incisional hernias are even rarer especially with incarceration of intra-abdominal contents.Case Presentation. A 68-year old female presented with a 3-day history of worsening acute abdominal pain and distension, with multiple episodes of emesis. A CT scan indicated a large incarcerated posterolateral abdominal hernia. The patient had a history of resection of a sarcoma on her back as a child and also received chemotherapy and radiation. During emergency laparoscopy, a
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29

Patel, Puraj P., Jeremy A. Warren, Roozbeh Mansour, William S. Cobb, and Alfredo M. Carbonell. "A Large Single-Center ‘Experience of Open Lateral Abdominal Wall Hernia Repairs." American Surgeon 82, no. 7 (2016): 608–12. http://dx.doi.org/10.1177/000313481608200726.

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Lateral abdominal wall hernias may occur after a variety of procedures, including anterior spine exposure, urologic procedures, ostomy closures, or after trauma. Anatomically, these hernias are challenging and require a complete understanding of abdominal wall, interparietal and retroperitoneal, anatomy for successful repair. Mesh placement requires extensive dissection of often unfamiliar planes, and its fixation is difficult. We report our experience with open mesh repair of lateral abdominal wall hernias. A retrospective review of a prospectively maintained database was performed to identif
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30

SLAVIN, JAMES D., HASSANALI KASSAMALI, RICHARD P. SPENCER, and HAROLD D. HAWKINS. "Flank Incisional Hernia Noted on Radionuclide Dynamic/Static Images." Clinical Nuclear Medicine 14, no. 7 (1989): 548. http://dx.doi.org/10.1097/00003072-198907000-00021.

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31

PETERSEN, SVEN, FRED SCHUSTER, FRANK STEINBACH, GABRIELE HENKE, GUNTER HELLMICH, and KLAUS LUDWIG. "Sublay Prosthetic Repair for Incisional Hernia of the Flank." Journal of Urology 168, no. 6 (2002): 2461–63. http://dx.doi.org/10.1016/s0022-5347(05)64168-7.

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Islam, Shahnoor, AKM Amirul Morshed, Md Ashraf Ul Huq, Md Mahbub-Ul Alam, Susankar Kumar Mondal, and Kaniz Hasina. "Bilateral Lumbar Hernia - a Rare Occurence in Infant." Journal of Paediatric Surgeons of Bangladesh 1, no. 2 (2014): 162–65. http://dx.doi.org/10.3329/jpsb.v1i2.19537.

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Lumbar hernias are rare in children. We report a case of bilateral lumbar hernia in a 39 days old boy who was admitted at pediatric surgery department in Dhaka Medical College Hospital with the chief complaints of bilateral flank swellings since birth. There were no urinary or bowel complaints. Palpation revealed reducible, non-tender, soft to firm swellings involving iliolumbar region in left and lumbar region in right . These were increased on crying. On auscultation bowel sounds were present in left side and absent in right side. There were no other congenital anomalies.Ultrasonography reve
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33

Athar, Hakim, Jitender Mohindroo, Kiranjeet Singh, Ashwani Kumar, and Mulinti Raghunath. "Comparison of Radiography and Ultrasonography for Diagnosis of Diaphragmatic Hernia in Bovines." Veterinary Medicine International 2010 (2010): 1–7. http://dx.doi.org/10.4061/2010/939870.

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The present study was conducted on 101 animals suffering from thoracoabdominal disorders; out of which twenty seven animals (twenty six buffaloes and one cow) were diagnosed with diaphragmatic hernia based on clinical signs, radiography, ultrasonography, and left flank laparorumenotomy. Radiography alone confirmed diaphragmatic hernia in 18 cases (66.67%) with a sac-like structure cranial to the diaphragm. In 15 animals the sac contained metallic densities while in three cases a sac-like structure with no metallic densities was present. Ultrasonography was helpful in confirming diaphragmatic h
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34

Tufo, Andrea, Gianpaolo Marte, Francesco Guida, Angela Travaglino, and Mariano Fortunato Armellino. "Laparoscopic treatment of small bowel incarceration and perforated appendix within right-sided spigelian hernia: case report and review of the literature." Il Giornale di Chirurgia - Journal of the Italian Association of Hospital Surgeons 43, no. 3 (2023): e28. http://dx.doi.org/10.1097/ia9.0000000000000028.

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Spigelian hernia is a rare disease and a quarter of the patients present with incarceration or strangulation of the hernia content and require emergency surgery. We report a case of an elderly obese woman with comorbidity presented with abdominal pain and right flank palpable mass. The contrast enhanced computer tomography showed bowel incarceration within right side spigelian hernia. Only at laparoscopic exploration a diagnosis of appendicitis within spigelian hernia was made and the patient underwent laparoscopic appendicectomy and open debridement of the abscess with primary closure of the
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35

Vivian Ndidi Akagbue, Chidinma Wekhe, Oyeinkepreye Inegbegha, and Franklin Oki. "Lumbar hernia: An unusual abdominal hernia: A case report and review of literature (radiological perspective) in a tertiary center in south-south Nigeria." World Journal of Advanced Research and Reviews 20, no. 2 (2023): 877–81. http://dx.doi.org/10.30574/wjarr.2023.20.2.2293.

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Lumbar hernias are unusual abdominal wall defects involving the posterolateral abdominal wall: the superior lumbar triangle of Grynfelt, which is the most common site, and the inferior lumbar triangle of Petit. They are located between the muscular layers of the abdominal wall and can be easily ignored because of abdominal obesity. In general, it is difficult to diagnose because of their unclear non-specific symptoms. However, radiographic studies have been valuable in confirming the diagnosis. The introduction of ultrasonography and computed tomography (CT) has greatly improved the diagnosis
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Vivian, Ndidi Akagbue, Wekhe Chidinma, Inegbegha Oyeinkepreye, and Oki Franklin. "Lumbar hernia: An unusual abdominal hernia: A case report and review of literature (radiological perspective) in a tertiary center in south-south Nigeria." World Journal of Advanced Research and Reviews 20, no. 2 (2023): 877–81. https://doi.org/10.5281/zenodo.12592028.

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Lumbar hernias are unusual abdominal wall defects involving the posterolateral abdominal wall: the superior lumbar triangle of Grynfelt, which is the most common site, and the inferior lumbar triangle of Petit. They are located between the muscular layers of the abdominal wall and can be easily ignored because of abdominal obesity. In general, it is difficult to diagnose because of their unclear non-specific symptoms. However, radiographic studies have been valuable in confirming the diagnosis. The introduction of ultrasonography and computed tomography (CT) has greatly improved the diagnosis
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37

Dissanaike, Sharmila, John A. Griswold, and Eldo E. Frezza. "Treatment of Isolated Penetrating Flank Trauma." American Surgeon 71, no. 6 (2005): 493–96. http://dx.doi.org/10.1177/000313480507100608.

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We present our experience during the past 5 years with isolated penetrating flank trauma. We examined the evaluation process, treatment plan, length of stay, outcome, and complications of patients with isolated penetrating injuries to the flank. There were four patient groups: 1) laparotomy (n = 5); 2) local wound exploration (n = 1); 3) laparoscopy (n = 8); and 4) observation and triple contrast CT scan (n = 9). All patients were male. The mean length of stay was 15 days for group 1, one day for group 2, two days in group 3, and 1.5 days in group 4. Three patients had diaphragmatic injuries,
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Freeman, David E., Dean W. Richardson, Eric P. Tulleners, et al. "Loop colostomy for management of rectal tears and small-colon injuries in horses: 10 cases (1976-1989)." Journal of the American Veterinary Medical Association 200, no. 9 (1992): 1365–71. http://dx.doi.org/10.2460/javma.1992.200.09.1365.

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Summary Loop colostomy was performed in 10 horses as treatment for grade-III rectal tears (n = 6 horses), small-colon infarction (n = 2 horses), perirectal abscess and stenosis (n = 1 horse), and small-colon stricture (n = 1 horse). In 7 horses, the colostomy was constructed through a single incision low in the left flank, with closure of the incision around the stoma (single-incision technique). In 3 horses, 2 of which had colostomy performed as a standing procedure, the selected segment of small colon was placed from a flank incision into a separate, small incision low in the left flank (dou
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AL-Asadi, Rahi N. "Ultrasonographic Evaluation of Hernioplasty of Experimentally Induced Large Ventro-lateral Hernia in Bucks." Iraqi Journal of Veterinary Medicine 35, no. 2 (2011): 105–12. http://dx.doi.org/10.30539/iraqijvm.v35i2.582.

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The present study is assigned to evaluate the efficiency of hernioplasty in reconstruction of experimentally induced ventro-lateral hernia in bucks using two types of sutures (silk and polypropylene) and to find which thread is more safe and suitable for closure of the hernia, based on ultrasonographic examination.Sixteen adult local breed bucks were enrolled for this study. All subjected to inducing artificial ventro-lateral hernia (12x10) cm in the right flank under the effect of local anesthesia (2% Lidocaine), then left for one month. After that, animals divided randomly and equally into t
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Yoshino, Tateki, Ayako Itakura, Shinnosuke Fujikawa, et al. "Ureteral Diaphragmatic Hernia Treated with Ureteral Stenting: A Case Report and Review of the Literature." Case Reports in Urology 2022 (February 22, 2022): 1–5. http://dx.doi.org/10.1155/2022/4866502.

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Ureteral diaphragmatic hernia through diaphragmatic defects is an exceptionally rare subset of ureteral hernia with only fourteen such cases reported in English manuscripts. An 85-year-old woman was introduced to our department with right flank pain, fever elevation, and nausea. Urinalysis showed bacteriuria, and Escherichia coli was detected in the urine culture. Blood analysis revealed abnormal findings, including elevated WBC count (10,510/μl) and C-reactive protein (0.28 mg/dl). Computed tomography (CT) of the abdomen demonstrated a defect of the right diaphragmatic crus containing a dilat
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Maibom, Sophia Liff, Phillip Ryom, and Katrine Schou-Jensen. "Left sided flank pain due to Bochdalek hernia with intrathoracic kidney." Scandinavian Journal of Urology 53, no. 1 (2019): 79–80. http://dx.doi.org/10.1080/21681805.2018.1545798.

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Tran, Elisa, Zara Summers, David Parker, and Philip Townend. "Open sandwich mesh repair of a large recurrent incisional flank hernia." BMJ Case Reports 17, no. 4 (2024): e259361. http://dx.doi.org/10.1136/bcr-2023-259361.

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Alkhilani, M. "Abdominal Hernia in A Mesopotamia Buffalo calf." Al-Anbar Journal of Veterinary Sciences 12, no. 1 (2019): 50–53. http://dx.doi.org/10.37940/ajvs.2019.12.1.6.

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A two months old male Buffalo calf with a large abdominal swelling was brought to Baghdad Veterinary Hospital. From history, one month ago small swelling appeared at the lateral abdominal region and it was enlarged gradually with no effect on the appetite. On palpation it revealed irreducible swelling about volley ball in size. The hernial ring was at the upper flank region about four fingers in size and the small intestine was fall down to the lower abdominal region as a bocket between the abdominal wall and the skin. The case was successfully treated surgically by open herniorrhaphy.
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Steen, Christopher, Jia Hui Lee, Enoch Wong, and Sean Mackay. "Laparoscopic Repair of Bochdalek Hernia: A Rare Presentation of Abdominal Pain in the Elderly." Case Reports in Surgery 2023 (June 30, 2023): 1–3. http://dx.doi.org/10.1155/2023/5361609.

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Bochdalek hernias (BHs) are rare, and the presentation, diagnosis, and management of them can be complex. We present a 70-year-old man presenting with left flank pain who underwent a successful laparoscopic repair of BH with mesh placement.
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Smecellato, Fernanda Bombonato, Eloísa Ianes Frota, Larissa Silva Sande, et al. "Diaphragmatic morgagni in adult: a case report." International Surgery Journal 11, no. 12 (2024): 2103–7. http://dx.doi.org/10.18203/2349-2902.isj20243554.

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A 70-year-old male patient with a history of systemic hypertension, gouty arthritis, and possible chronic kidney disease presented with right flank pain, nausea, and decreased appetite. Examinations revealed a right-sided incarcerated diaphragmatic hernia in the anterior region, with protrusion of adipose tissue and loops of small intestine. A laparoscopic surgery was performed, during which the herniated contents were reduced, and a hernia defect approximately 4 cm in size was found and repaired. Post-surgery, he developed complications including pulmonary thromboembolism, intestinal perforat
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Zieren, Jürgen, Charalambos Menenakos, Kasra Taymoorian, and Jochen M. Müller. "Flank hernia and bulging after open nephrectomy: mesh repair by flank or median approach? Report of a novel technique." International Urology and Nephrology 39, no. 4 (2007): 989–93. http://dx.doi.org/10.1007/s11255-007-9186-x.

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Khemchand, Agrawal Kavita, Anshul Kumar, Sushant Babal, and Rajesh Bansiwal. "Chronic iliopsoas abscess mimicking strangulated incisional hernia: A case report from tertiary care center of North India." World Journal of Surgical Infection 3, no. 2 (2024): 68–71. https://doi.org/10.4103/wjsi.wjsi_8_24.

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Iliopsoas abscess (IPA) is a collection of pus in the iliopsoas compartment which is an extraperitoneal space in proximity to various gastrointestinal organs, the spine, the aorta, and the kidney. The most common cause of IPA is hematogenous spread from distant sites. Percutaneous drainage and antitubercular treatment are successful in the majority of the patients rarely requiring operative intervention. We present a case of 65-year-old Asian man, a tobacco chewer who presented in emergency with long-standing history of swelling at a previous operative site in the right flank region associated
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Zhou, D. J., and M. A. Carlson. "Incidence, etiology, management, and outcomes of flank hernia: review of published data." Hernia 22, no. 2 (2018): 353–61. http://dx.doi.org/10.1007/s10029-018-1740-1.

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Elsayed, Kareem S., Raymond J. Melder, and Michael C. Nguyen. "An Unusual Case of Flank Pain: More Than Just an Inguinal Hernia." Journal of Emergency Medicine 53, no. 1 (2017): 135–36. http://dx.doi.org/10.1016/j.jemermed.2017.03.026.

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Mukherjee, Kaushik, and Richard S. Miller. "Flank Hernia Repair with Suture Anchor Mesh Fixation to the Iliac Crest." American Surgeon 83, no. 3 (2017): 284–89. http://dx.doi.org/10.1177/000313481708300324.

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Traumatic or postsurgical flank hernias are complex and prone to recurrence, particularly at the border of the iliac crest. We reviewed our experience using suture anchors drilled into the iliac crest to fixate the mesh to bone. Our study of 10 repairs in eight patients was Institutional Review Board exempt. We obtained demographics, body mass index, diabetes, methicillin-resistant Staphylococcus aureus (MRSA) history, smoking status, steroid use, number of prior repairs, defect size, mesh size, number of anchors, and recurrence and infection at follow-up. We performed Kaplan-Meier analysis us
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