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• W3004743396 abstract "We report two cases of the very rare Primary Acquired Grynfeltt Hernia. The related abdominal wall defects were repaired, by open surgery, placing a partially absorbable plug and mesh. The observation and management of these two new cases prompted us to review the literature with the purpose of suggesting the most appropriate surgical approach and technique.A 60 years old female patient showing a swelling at the left lumbar region, and a 76 years old male patient showing evidence of a tumefaction located at the right lumbar region, were diagnosed at our department with Primary Acquired Grynfeltt Hernia.Postoperative courses were uneventful and the patients were discharged from hospital respectively on the third and second postoperative day. Follow-up at thirty days, six months, two and three years showed no signs of recurrence.Primary Acquired Grynfeltt Hernia is one of the rarest abdominal hernias. In literature there are no comparative studies showing which type of surgical approach should be preferred for this specific abdominal wall defect. In our department, open surgery was successfully performed for the treatment of two new cases of Primary Acquired Grynfeltt Hernias and, second time in literature, partially absorbable plug and mesh were placed in order to repair the causative abdominal wall defect.Based on our experience and literature review, we consider open hernia repair with partially absorbable plug and mesh as an appropriate and advisable surgical approach for not complicated cases of Primary Acquired Grynfeltt Hernia. Surgery is performed rapidly, effortlessly and securely if the patient is under general anesthesia, in lateral decubitus position with the operating table flexed at the level of the iliac crest.Primary Acquired Grynfeltt Hernia, Lumbar Hernia.Dopo più di 3000 anni dalla prima menzione dell’ernia inguinale nel Papyrus Ebers del 1552 a.C., Barbette nel 1672 suggerisce l’esistenza dell’ernia lombare e nel 1866 Grynfeltt descrive lo spazio anatomico e l’ernia che prenderanno il suo nome. Nell’Azienda Ospedaliera di Caserta di Rilievo Nazionale ed Alta Specializzazione sono stati operati, in elezione, in 5 anni dal 2008 al 2013, 1605 pazienti per ernie addominali primitive (inguinale, crurale, ombelicale, epigastrica, di Spigelio, di Grynfeltt). Tutti trattati con tecnica open, in quanto ritenuta tecnica gravata da minori complicanze, migliore compliance dei pazienti e minor costo. In due casi (pari allo 0.12%) si è trattato di Ernia di Grynfeltt acquisita spontanea (Primary Acquired Grynfeltt Hernia - PAGH). 1° paziente di sesso femminile di anni 60, PAGH a sinistra. Classificata come ASA II/III, sottoposta ad intervento chirurgico open della durata di 35 minuti. 2° paziente maschio di sesso maschile di anni 76, con PAGH a destra. Classificato come ASA III, sottoposto ad intervento della durata di 50 minuti. In entrambi i casi il decorso postoperatorio è stato regolare con dimissione rispettivamente in terza e seconda giornata. Il follow-up rispettivamente a uno, due e tre anni non ha evidenziato recidiva. A nostro avviso, per l’Ernia di Grynfeltt acquisita primitiva non complicata l’intervento di scelta è laparotomico con l’utilizzo di un plug e mesh parzialmente assorbibili ed è reso più rapido, facile e sicuro dal decubito laterale con il tavolo spezzato all’altezza della cresta iliaca in anestesia generale." @default.
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• W3004743396 date "2018-01-01" @default.
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• W3004743396 title "Primary acquired Grynfeltt Hernia: two new cases and literature review." @default.
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