A Rare Case of Inferior Lumbar Hernia Treated with Open Lumbar Hernioplasty

Author : Dr. Tirth Nilunjkumar Patel

Abstract :Lumbar hernia is the protrusion of intraperitoneal or extraperitoneal contents through a defect of the posterolateral abdominal wall. Barbette was the fi rst, in 1672, to suggest the existence of lumbar hernias. The fi rst case was reported by Garangeot in 1731. Petit and Grynfeltt delineated the boundaries of the inferior and superior lumbar triangles in 1783 and 1866, respectively. These two anatomical sites account for about 95 per cent of lumbar hernias. Approximately 20 per cent of lumbar hernias are congenital. The rest are either primarily or secondarily acquired. The most common cause of primarily acquired lumbar hernias is increased intra-abdominal pressure. Secondarily acquired lumbar hernias are associated with prior surgical incisions, trauma, and abscess formation.Repair of lumbar hernias should be performed as early as possible to avoid incarceration and strangulation. The classic repair technique uses the open approach, where closure of the defect is performed either directly or using prosthetic mesh. The laparoscopic approach, either transabdominal or extraperitoneal, is an alternative.

Keywords :Lumbar hernia, congenital, acquired, intra-abdominal pressure, repair, mesh, laparoscopic

Conference Name :International Conference on Surgery and Surgical Nursing (ICSSN-25)

Conference Place Vadodara India

Conference Date 3rd May 2025