Flank hernia

Posted Tuesday, July 20, 2022

Written by Dr.Bayat
Associate Professor of Orthopedic expert,Brigham Hostpital

 

What do you know about flank hernias?

What is Flank hernia?

What are the symptoms, why does it occur and what is the way to get rid of Flank hernias?

Another name for Flank hernia is lumbar hernias. You will read more about lumbar hernias, their symptoms and ways to treat them in the following.

 

flank

 

Introduction

One of the important points is that the non-physician reader receives a correct and scientific definition of a hernia. When an organ in the body takes advantage of a defect and moves from its original space to a space that does not belong to it, a so-called hernia has occurred.

 

What is the definition of Flank hernia ‌ or Lumbar hernia?

Flank hernia, also known as lumbar hernia, has the following clinical picture:

A person with a flank hernia develops progressive swelling on one side. This progressive swelling on the side occurs following a fall from a height. The reason for this is that the rupture of the abdominal wall in the lumbar triangle is due to an injury.

And because the muscular wall of the abdomen is weakened at the site of injury, the intestines bulge from that area.

 

Let us briefly see what is the meaning of the lumbar triangle?

The lower lumbar triangle or the petit lumbar triangle, is superficial and the upper lumbar triangle, is deeper between the two triangles. it has been shown in autopsy studies that the upper triangle is the most common part whose defect and rupture can lead to flank hernia.

Now let's take a brief look at its neighbors:

The inner leg of this triangle is formed by the quadratus lumborum, the outer leg is formed by the posterior edge of the internal oblique muscle of the abdomen, and the floor of this triangle is formed by the transversalis fascia and the roof is formed by the external oblique muscle of the abdomen.

 

Epidemiology

Flank hernia or lumbar hernia, which occurs in the posterolateral wall of the lower abdomen, or in the posterior outer wall of the lower abdomen on one side, originates from muscle weakness in this area.

 

What are the signs of lumbar or flank hernias?

Swelling in the back or lower abdomen, swelling in behind or around the area, and pain that is exacerbated by coughing or stretching in this area. In fact, the signs and symptoms of flank hernia are said to be that the person may have no symptoms and when the symptoms occur, they can be accompanied by pain in the side.

 

What is the cause of Lumbar or flank hernias?

Lumbar hernias are typically said to be caused by pressure from a blunt trauma to your abdominal wall and can weaken the abdominal wall muscles due to the force exerted for blunt trauma. Another cause of weakness in this part of the abdominal wall muscles can be surgical incisions that have not completely healed after surgery and recovery.

 

Diagnosis

To diagnose flank hernias, the patient can describe his or her symptoms clearly. The patient tells the doctor that there is progressive swelling in the side and back area on one side and he feels pain around this ridge which gets worse by coughing or stretching the area. The doctor hears the description of such a clinical picture and asks the patient about the history of sports injuries, accidents and trauma to the abdomen and pelvis. He also asks about the history of previous surgeries in the abdomen and pelvis. Observation of the area can also provide the doctor with the presence of a previous incision scar in previous surgeries.

 

Treatment

We should not think that lumbar hernias will heal on their own, that is, if a person with lumbar hernia, neglects and does not seek treatment, he may face very serious health complications, so the only way to cure it, is to perform surgical interventions, without surgery, these hernias will not heal.

In the surgical procedure for repairing flank hernias or lumbar hernias, what happens is that surgeons repair the posterior lateral wall of the abdomen in the affected area by using sutures for small tears, or by using mesh in wider tears and injuries.

In this way, they increase the strength of the back wall of the abdomen and prevent the internal organs of the abdomen from protruding.

It usually takes two hours to perform flank hernia repair surgery.

Written by Dr.Bayat
Associate Professor of Orthopedic expert,Brigham Hostpital

References

  • Organs in Quadrants and Regions Google Search Nursing. Anatomy Labelled. Anatomy Labelled Link

  • Dysmenorrhea. Cedars-Sinai. Cedars-Sinai Link

  • LDiverticular Disease of the Colon. Harvard Medical School: Harvard Health Publishing. Published Dec. 2, 2015. Harvard Health Link

  • Prescription Nonsteroidal Anti-Inflammatory Medicines. American Academy of Family Physicians: FamilyDoctor. Published Jan. 24, 2018. FamilyDoctor Link

  • Testicular Torsion. American Academy of Family Physicians: FamilyDoctor. Published June 5, 2017. FamilyDoctor Link

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All Rights Reserved © By MarsoClinic

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