요탈장 2예 보고
2 Cases of Lumbar Hernia
박성길, 임형근, 김갑태, 김상현,
소속 상세정보
박성길 ( Park Sung-Gil )
한림대학교 의과대학 한강성심병원 외과학교실
임형근 ( Lim Hung-Keun )
전주예수병원 방사선과
김갑태 ( Kim Kab-Tae )
전주예수병원 외과
김상현 ( Kim Sang-Hyun )
전주예수병원 외과
KMID : 0371320010610010114
Abstract
Lumbar hernia presents as a reducible protruding mass in the flank region between the 12th rib and the iliac crest. The superior lumbar hernia (Grynfeltt’s) is covered by the thin latissimus dorsi muscle and bounded by the erector spinae and
internal
obliquus abdominis muscle. The lumbodorsal fascia forms the floor of the Grynfeltt’s triangle. Spontaneous or acquired non-traumatic lumbar hernia occurs more frequently after middle age. The untreate
d lumbar hernia progresses in size gradually. As in most hernias, the larger the defect, the more complicated and difficult is the repair. Here we report 2 female patients with spontaneous lumbar hernia diagnosed at Presbyterian Medical Center
with
computerized tomogram. Their treatment consisted of tension- free surgical repair utilizing the overlap method for defect edge and the application of prolene mesh.
키워드
상부요탈장; Superior lumbar hernia;
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