Congenital Lumbar Hernia: A 15-Year Experience at a Single Tertiary Centre

Aim. Congenital lumbar hernia is an uncommon anomaly with only few cases reported in the English literature. This study was done to study the incidence, age at presentation, sex, associated anomalies, surgical management, and postoperative morbidity and mortality of congenital lumbar hernia in pedia...

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Main Authors: K. N. Rattan, Arushi Agarwal, Ankur Dhiman, Ananta Rattan
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:International Journal of Pediatrics
Online Access:http://dx.doi.org/10.1155/2016/7162475
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author K. N. Rattan
Arushi Agarwal
Ankur Dhiman
Ananta Rattan
author_facet K. N. Rattan
Arushi Agarwal
Ankur Dhiman
Ananta Rattan
author_sort K. N. Rattan
collection DOAJ
description Aim. Congenital lumbar hernia is an uncommon anomaly with only few cases reported in the English literature. This study was done to study the incidence, age at presentation, sex, associated anomalies, surgical management, and postoperative morbidity and mortality of congenital lumbar hernia in pediatric patients. Methods. Retrospective analysis of all patients of CLH over a period of 15 years (January 2000 to December 2015) was analyzed. Results. A total of 14 patients were encountered in this series. All presented within first 2 years of age. 12 were males and 2 were females. All of them presented with swelling in lumbar region. 13 were unilateral and 1 was bilateral. Left sided hernia was observed in 2 cases only. Lumbocostovertebral syndrome was found in all the patients in addition to other rare anomalies. All cases were managed with open surgical repair. Wound infection was seen in 2 cases. There was no mortality in our series. Conclusion. CLH is very rare among hernias. Surgery should be carried out within 1 year of age. For a defect of <5 cm, primary repair is done. For a defect of >5 cm, meshplasty should be considered. Prognosis is excellent.
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institution Kabale University
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publishDate 2016-01-01
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series International Journal of Pediatrics
spelling doaj-art-4a1a0b9c4b214953928a803d1d5ca7552025-02-03T01:33:03ZengWileyInternational Journal of Pediatrics1687-97401687-97592016-01-01201610.1155/2016/71624757162475Congenital Lumbar Hernia: A 15-Year Experience at a Single Tertiary CentreK. N. Rattan0Arushi Agarwal1Ankur Dhiman2Ananta Rattan3Department of Pediatric Surgery, PGIMS Rohtak, Haryana, IndiaDepartment of Pediatric Surgery, PGIMS Rohtak, Haryana, IndiaDepartment of Pediatric Surgery, PGIMS Rohtak, Haryana, IndiaDepartment of Pediatric Surgery, PGIMS Rohtak, Haryana, IndiaAim. Congenital lumbar hernia is an uncommon anomaly with only few cases reported in the English literature. This study was done to study the incidence, age at presentation, sex, associated anomalies, surgical management, and postoperative morbidity and mortality of congenital lumbar hernia in pediatric patients. Methods. Retrospective analysis of all patients of CLH over a period of 15 years (January 2000 to December 2015) was analyzed. Results. A total of 14 patients were encountered in this series. All presented within first 2 years of age. 12 were males and 2 were females. All of them presented with swelling in lumbar region. 13 were unilateral and 1 was bilateral. Left sided hernia was observed in 2 cases only. Lumbocostovertebral syndrome was found in all the patients in addition to other rare anomalies. All cases were managed with open surgical repair. Wound infection was seen in 2 cases. There was no mortality in our series. Conclusion. CLH is very rare among hernias. Surgery should be carried out within 1 year of age. For a defect of <5 cm, primary repair is done. For a defect of >5 cm, meshplasty should be considered. Prognosis is excellent.http://dx.doi.org/10.1155/2016/7162475
spellingShingle K. N. Rattan
Arushi Agarwal
Ankur Dhiman
Ananta Rattan
Congenital Lumbar Hernia: A 15-Year Experience at a Single Tertiary Centre
International Journal of Pediatrics
title Congenital Lumbar Hernia: A 15-Year Experience at a Single Tertiary Centre
title_full Congenital Lumbar Hernia: A 15-Year Experience at a Single Tertiary Centre
title_fullStr Congenital Lumbar Hernia: A 15-Year Experience at a Single Tertiary Centre
title_full_unstemmed Congenital Lumbar Hernia: A 15-Year Experience at a Single Tertiary Centre
title_short Congenital Lumbar Hernia: A 15-Year Experience at a Single Tertiary Centre
title_sort congenital lumbar hernia a 15 year experience at a single tertiary centre
url http://dx.doi.org/10.1155/2016/7162475
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AT ankurdhiman congenitallumbarherniaa15yearexperienceatasingletertiarycentre
AT anantarattan congenitallumbarherniaa15yearexperienceatasingletertiarycentre