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Lumbar hernia

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https://www.readbyqxmd.com/read/29135610/meralgia-paresthetica-after-spine-surgery-on-the-jackson-table
#1
Nitin Agarwal, Jaydev B Mistry, Preeya V Khandge, David R Hansberry, Ira M Goldstein
Meralgia paresthetica is a non-life-threatening neurological disorder characterized by numbness, tingling, and burning pain over the anterolateral thigh due to impingement of the lateral femoral cutaneous nerve. This disorder has been seen in patients with diabetes mellitus and obesity, but has also been observed in patients after procedures such as posterior spine surgery, iliac crest bone grafts, lumbar disk surgery, hernia repair, appendectomies, and pelvic osteotomies that ultimately lead to compression or damage to the lateral femoral cutaneous nerve...
November 10, 2017: Clinical Spine Surgery
https://www.readbyqxmd.com/read/29062822/stand-alone-anterior-lumbar-interbody-fusion-complications-and-perioperative-results
#2
Rodrigo Amaral, Ronaldo Ferreira, Luis Marchi, Rubens Jensen, Joes Nogueira-Neto, Luiz Pimenta
OBJECTIVES: Historically, anterior lumbar interbody fusion (ALIF) was related to high rates of intraoperative complications and adverse events related to interbody devices. In recent decades, there have been technical adjustments, and cages that are more suitable have emerged. The aim of this study is to evaluate the efficacy and complication rate of the use of stand-alone mini-ALIF using a self-locking cage. METHODS: Retrospective single center study. Inclusion criteria: retroperitoneal mini-ALIF for single-level fusion (L5S1); self-locking cage; DDD/stenosis and grade I spondylolisthesis...
September 2017: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/29039154/severe-headache-following-ozone-therapy-pneumocephalus
#3
Hüseyin Toman, Uğur Özdemir, Hasan Ali Kiraz, Nurettin Lüleci
Pneumocephalus is defined as air in the cranial cavity. Pneumocephalus can result from inadvertent dural puncture during lumbar epidural anesthesia or epidural steroid injection. Presently described is case of 41-year-old woman who had undergone lumbar disc hernia operation but due to ongoing complaints, was diagnosed as having failed back surgery syndrome. Percutaneous epidural neuroplasty was performed. In the operating room, under sterile conditions and under sedoanalgesia, Racz catheter was inserted in caudal area and guided to epidural area with scope...
July 2017: Aǧrı: Ağrı (Algoloji) Derneği'nin Yayın Organıdır, the Journal of the Turkish Society of Algology
https://www.readbyqxmd.com/read/28959431/the-early-laparoscopic-repair-of-a-traumatic-lumbar-hernia-safe-and-successful
#4
Stephen Kaminski, Shawn Diamond
Abdominal wall hernias are a rare but important consequence of blunt trauma. The optimal timing and the method of repair are not well described in the current surgical literature. Advances in laparoscopic techniques have offered new options for treatment of this problem. We describe the case of a 43-year-old man who suffered a blunt traumatic lumbar hernia. He was taken to the operating room during his initial hospitalization where a laparoscopic repair was performed with the additional implantation of prosthetic mesh...
September 2017: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/28944339/lumbar-petit-s-hernia-a-rare-entity
#5
Fatih Başak, Mustafa Hasbahçeci, Tolga Canbak, Aylin Acar, Abdullah Şişik, Gürhan Baş, Orhan Alimoğlu
Lumbar hernias are rare and diagnostically challenging for surgeons. We present the case of a middle-aged patient who presented with swelling in the left back. Subcutaneous lipoma was included in the differential diagnosis. Following diagnostic studies, computed tomography confirmed left lumbar hernia. Elective surgery was performed, and the results revealed Petit's hernia. The hernia was repaired with mesh.
2017: Turk J Surg
https://www.readbyqxmd.com/read/28942026/posterolateral-fusion-versus-dynesys-%C3%A2-dynamic-stabilization-retrospective-study-at-a-minimum-5-5-years-follow-up
#6
Simon Bredin, Olivier Demay, Christophe Mensa, Karim Madi, Xavier Ohl
INTRODUCTION: Lumbar fusion is one of the most widespread techniques to treat degenerative lumbar pathology. To prevent complications such as non-union or adjacent segment degeneration, dynamic stabilization techniques were developed, but with controversial results. The aim of the present study was to compare long-term radiologic and clinical results between fusion and dynamic stabilization. MATERIAL AND METHODS: A single-center retrospective study included patients with recurrent lumbar discal hernia or lumbar canal stenosis managed by posterolateral fusion or by dynamic stabilization associated to neurologic release...
September 20, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/28931976/effectiveness-of-dry-needling-versus-a-classical-physiotherapy-program-in-patients-with-chronic-low-back-pain-a-single-blind-randomized-controlled-trial
#7
Emİne Handan Tüzün, Sıla Gıldır, Ender Angın, Büşra Hande Tecer, Kezban Öztürk Dana, Mehtap Malkoç
[Purpose] We compared the effectiveness of dry needling with a classical physiotherapy program in patients with chronic low-back pain caused by lumbar disc hernia (LHNP). [Subjects and Methods] In total, 34 subjects were allocated randomly to the study (n=18) and control groups (n=16). In the study group, dry needling was applied using acupuncture needles. The control group performed a home exercise program in addition to hot pack, TENS, and ultrasound applications. Pain was assessed with the short form of the McGill Pain Questionnaire...
September 2017: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/28928928/grynfeltt-lesshaft-lumbar-hernia-a-rare-cause-of-bowel-obstruction-misdiagnosed-as-a-lipoma
#8
Weronika Stupalkowska, Sarah F Powell-Brett, Brandon Krijgsman
Grynfeltt-Leschaft hernia is a type of lumbar hernia occurring in the superior lumbar triangle. Because of its rarity and non-specific presentation, lumbar hernia often poses a diagnostic challenge, and it can be easily misdiagnosed as a lipoma. If the correct diagnosis is missed, there is a significant risk of complications including hernia incarceration or strangulation. Here, we present a case of Grynfeltt-Lesshaft hernia which was repeatedly misdiagnosed as a lipoma and presented acutely with large bowel obstruction...
September 2017: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/28905199/early-prenatal-diagnosis-of-a-lumbo-costo-vertebral-syndrome
#9
Anda Ioana Pristavu, Cristina Furnica, Mona Mihaela Ifrim, Razvan Mihai Popovici
Lumbo-costo-vertebral syndrome (LCVS) is a rare type of lumbar hernia with associated abnormalities of the vertebral bodies, ribs, and trunk muscles. Only a few cases have been reported in the literature, all of which were diagnosed after birth. We present a case of LCVS diagnosed early in the second trimester of pregnancy using two- and three-dimensional ultrasound. In our case, the associated anomalies were: multiple costovertebral anomalies, lumbar hernia, anal imperforation, left hand supernumerary digit, and clubfoot...
September 13, 2017: Journal of Medical Ultrasonics
https://www.readbyqxmd.com/read/28899699/factors-associated-with-lumbar-disc-hernia-recurrence-after-microdiscectomy
#10
G Camino Willhuber, G Kido, M Mereles, J Bassani, M Petracchi, C Elizondo, M Gruenberg, C Sola
INTRODUCTION: Lumbar disc hernias are a common cause of spinal surgery. Hernia recurrence is a prevalent complication. OBJECTIVE: To analyse the risk factors associated with hernia recurrence in patients undergoing surgery in our institution. MATERIALS AND METHODS: Lumbar microdiscectomies between 2010 and 2014 were analysed, patients with previous surgeries, extraforaminales and foraminal hernias were excluded. Patients with recurrent hernia were the case group and those who showed no recurrence were the control group...
September 9, 2017: Revista Española de Cirugía Ortopédica y Traumatología
https://www.readbyqxmd.com/read/28818338/spinal-anesthesia-for-pediatric-urological-surgery-reducing-the-theoretic-neurotoxic-effects-of-general-anesthesia
#11
Emmett E Whitaker, Brianne Z Wiemann, Daniel G DaJusta, Seth A Alpert, Christina B Ching, Daryl J McLeod, Joseph D Tobias, Venkata R Jayanthi
BACKGROUND: Spinal anesthesia (SA) is an effective technique that has been used in children for years. With growing concern with regard to the risks of general anesthesia (GA), we developed a SA program to provide an alternative option. We present our initial experience with this program. OBJECTIVE: To implement a SA program at a large tertiary care pediatric center and assess the safety and efficacy of the technique as an alternative to GA for urologic surgery...
August 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/28809678/ultrasound-aided-vertebral-level-localization-for-lumbar-surgery
#12
Nora Baka, Sieger Leenstra, Theo van Walsum
Localization of the correct vertebral level for surgical entry during lumbar hernia surgery is not straightforward. In this paper we develop and evaluate a solution using free-hand 2D ultrasound (US) imaging in the operation room (OR). Our system exploits the difference in spinous process shapes of the vertebrae. The spinous processes are pre-operatively outlined and labeled in a lateral lumbar X-ray of the patient. Then, in the OR the spinous processes are imaged with 2D sagittal US, and are automatically segmented and registered with the X-ray shapes...
August 10, 2017: IEEE Transactions on Medical Imaging
https://www.readbyqxmd.com/read/28532913/the-subcostal-nerve-during-lateral-approaches-to-the-lumbar-spine-an-anatomical-study-with-relevance-for-injury-avoidance-and-postoperative-complications-such-as-abdominal-wall-hernia
#13
Fernando Alonso, Rachel Graham, Tarush Rustagi, Doniel Drazin, Marios Loukas, Rod J Oskouian, Jens R Chapman, R Shane Tubbs
BACKGROUND: Lateral approaches to the spine are increasing in popularity. However, details of the innervation pattern of the abdominal oblique muscles with the initial dissection have not been well studied. METHODS: Ten adult fresh-frozen cadavers (20 sides) were placed in the lateral position. On each side, the region in which transpsoas approaches are performed, between the iliac crest and the 12th rib, was dissected. The nerves, their course, and their muscular supply were studied...
August 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28524124/-endoscopic-endonasal-diagnosis-and-treatment-of-skull-base-meningoencephalocele
#14
D N Kapitanov, E V Shelesko, A A Potapov, A D Kravchuk, D N Zinkevich, M V Nersesyan, L A Satanin, A V Sakharov, G V Danilov
PURPOSE: The study purpose was to determine the successful outcome rate of endoscopic endonasal reconstruction of skull base CSF fistulas with removal of meningocele as well as analyze disease relapses. The second purpose of the study was to describe the treatment outcomes, depending on the type, location, and size of meningocele as well as on a technique used to reconstruct the skull base defect. MATERIAL AND METHODS: Three hundred and eleven patients diagnosed with cerebrospinal fluid (CSF) rhinorrhea who underwent surgery at the Burdenko Neurosurgical Institute in the period between 2007 and 2014 were retrospectively analyzed...
2017: Zhurnal Voprosy Neĭrokhirurgii Imeni N. N. Burdenko
https://www.readbyqxmd.com/read/28516004/endoscopic-ultrasound-reaching-where-others-can-t
#15
Fady G Haddad, Magda Daoud, Ying Liu, Sherif Andrawes
Endoscopic ultrasound (EUS) has been increasingly used for the diagnosis and staging of pancreatic cancer. It has recently become the modality of choice in assessing pancreatic lesions overcoming other traditional modalities. Typically lesions located at the tail of the pancreas are best accessed through the stomach. We present a patient with pancreatic tail mass occurring in the setting of a large hiatal hernia, intrathoracic stomach, and severe lumbar levoscoliosis. Due to altered anatomy and extensive vascular connections of the mass, any surgical or radiological intervention was considered high risk for the patient...
April 15, 2017: Curēus
https://www.readbyqxmd.com/read/28493277/bone-mineral-density-in-complete-androgen-insensitivity-syndrome-and-the-timing-of-gonadectomy
#16
Thomas F J King, Winnie Z M Wat, Sarah M Creighton, Gerard S Conway
OBJECTIVE: Low bone mineral density (BMD) has been reported in complete androgen insensitivity syndrome (CAIS), but the impact of timing of gonadectomy is not known. We aimed to assess the relationship between age of gonadectomy and BMD in women with CAIS. DESIGN: Retrospective analysis of pre- and post-gonadectomy parameters in women with CAIS attending an adult Disorders of Sex Development (DSD) clinic in a tertiary centre. PATIENTS: One hundred and thirteen women with CAIS...
August 2017: Clinical Endocrinology
https://www.readbyqxmd.com/read/28489172/laparoscopic-repair-of-lumbar-hernia-grynfelt-technical-description
#17
Christiano Marlo Paggi Claus, Lucas Thá Nassif, Yan Sacha Aguilera, EduardoJose Brommelstroet Ramos, Julio Cesar Uili Coelho
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...
January 2017: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
https://www.readbyqxmd.com/read/28409440/repair-of-primary-and-incisional-hernias-using-composite-mesh-fixed-with-absorbable-tackers-preliminary-experience-of-a-laparoscopic-approach-with-a-newly-designed-mesh-in-29-cases
#18
Ferdinando Agresta, Alice Marzetti, Silvia Vigna, Daniela Prando, Raffaele Porfidia, Salomone Di Saverio
Outcome of primary and incisional hernia repair is still affected by clinical complications in terms of recurrences, pain and discomfort. Factors like surgical approach, prosthesis characteristics and method of fixation might influence the outcome. We evaluated in a prospective observational study a cohort population which underwent primary and incisional laparoscopic hernia repair, with the use of a composite mesh in polypropylene fixed with absorbable devices. We focused on assessing the feasibility and safety of these procedures; they were always performed by an experienced laparoscopic surgeon, analyzing data from our patients through the EuraHS registry...
April 13, 2017: Updates in Surgery
https://www.readbyqxmd.com/read/28384266/static-axial-overloading-primes-lumbar-caprine-intervertebral-discs-for-posterior-herniation
#19
Cornelis P L Paul, Magda de Graaf, Arno Bisschop, Roderick M Holewijn, Peter M van de Ven, Barend J van Royen, Margriet G Mullender, Theodoor H Smit, Marco N Helder
INTRODUCTION: Lumbar hernias occur mostly in the posterolateral region of IVDs and mechanical loading is an important risk factor. Studies show that dynamic and static overloading affect the nucleus and annulus of the IVD differently. We hypothesize there is also variance in the effect of overloading on the IVD's anterior, lateral and posterior annulus, which could explain the predilection of herniations in the posterolateral region. We assessed the regional mechanical and cellular responses of lumbar caprine discs to dynamic and static overloading...
2017: PloS One
https://www.readbyqxmd.com/read/28364291/invited-comment-to-open-retromuscular-large-mesh-reconstruction-of-lumbar-incisional-hernias-including-the-atrophic-muscular-area-y-renard-l-de-mestier-a-cagniet-et-al
#20
R K J Simmermacher
No abstract text is available yet for this article.
June 2017: Hernia: the Journal of Hernias and Abdominal Wall Surgery
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