Lumbar hernias are rare but complex defects that may be congenital or acquired in
the area bordered by the 12th rib superiorly, the iliac crest inferiorly and the erector
spinae medially, representing no more than 2% of all the abdominal hernias. Acquired
lumbar hernias are commonly secondary to surgery, trauma, or infection. Incisions
in the lumbar region to access to kidney, aorta, iliac crest are the main cause of
acquired lumbar hernia. Lumbar hernias may be asymptomatic or present as a growing
mass. Most severely, they have a 25% risk of incarceration and an 8% risk of strangulation,
which necessitates early surgical intervention.
1
However, their relative rarity and anatomical complexity render these lesions to
be managed in a variety of nonstandardised ways, such as primary suture repair and
rotational muscle flaps. We have successfully employed a modified open technique of
extended Sublay repair to deal with lumbar hernias.To read this article in full you will need to make a payment
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References
- Transperitoneal preperitoneal laparoskopic lumbar incisional herniorraphy.J Urol. 2001; 166: 267-1269
- Open vs laparoscopic repair of secondary lumbar hernias A prospective nonrandomized study.Surg Endosc. 2005; 19: 184-187
- Flank hernia and bulging after open nephrectomy: mesh repair by flank or median approach? Report of a novel technique.Int Urol Nephrol. 2007; 39: 989-993
- The retroperitoneal incision: an evaluation of postoperative flank ‘bulge’.Arch Surg. 1994; 129: 753-756
- Tim Geiger, Kevin Bartow, Archana Ramaswamy. Laparoscopic transperitoneal repair of flank hernias: a retrospective review of 27 patients.Surg Endosc. 2009; 23: 2692-2696
Article info
Publication history
Published online: June 27, 2012
Identification
Copyright
© 2012 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.
