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.
1However, 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.
- Shekkariz B.
- Graziottin T.M.
- Gholami S.
- et al.
Transperitoneal preperitoneal laparoskopic lumbar incisional herniorraphy.
J Urol. 2001; 166: 267-1269
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- Transperitoneal preperitoneal laparoskopic lumbar incisional herniorraphy.J Urol. 2001; 166: 267-1269
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- 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
Published online: June 27, 2012
© 2012 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.