Primary lumbar hernias are rare congenital defects of the abdominal wall. Repair of these rare hernias can be successfully performed via the anterior approach with the use of synthetic mesh - this method of repair is easy, safe, and effective.

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.

Conclusion: The diagnosis of lumbar hernia can be made by CT scan preoperatively; sublay placement of mesh is reliable method for repair of lumbar hernia. Lumbar hernia is defined as the protrusion of the intraperitoneal or extraperitoneal contents through a defect in the posterolateral abdominal wall [1].

A laparoscopic pre-peritoneal repair with a mesh is recommended in lumbar hernia < 5 cm, but the surgical approach in hernia > 5 cm should be tailored to individual patient characteristics and risk factors.

Awareness of the anatomy of the lumbar triangles is essential for prompt diagnosis of lumbar hernias. A contrast enhanced CT scan is essential for confirming the diagnosis. Repair can be done by both laparoscopic and open approach.

A wide variety of techniques have been described for repair of lumbar hernias. These include anatomical closure, overlapping of the aponeuroses, use of musculofascial flaps, prosthetic meshes and laparoscopic mesh repair in case of uncomplicated lumbar hernias .

2023年9月21日 · Surgery is the most common treatment for a hernia. The three main types of hernia surgery are open, laparoscopic (minimally invasive) and robotic repair. Your surgery and recovery will depend on multiple factors, including the type of hernia you have and how complex the surgery will be.

2024年1月27日 · Flank and lumbar hernias (FLH) are challenging to repair. This study aimed to establish a reproducible management strategy and analyze elective flank and lumbar repair (FLHR) outcomes from a single institution.

Case report: A case of primary lumbar hernia treated successfully by open mesh repair is presented. Discussion: The anatomical aspects underlying this condition along with diagnostic tests, their pitfalls, and surgical approaches are discussed.

Surgical repair of flank hernias can be very challenging because of the anatomic location of the hernia. The area to be repaired is often bordered by bone and other weak tissue structures that generally do not support the use of mesh.