Correspondence and communication| Volume 65, ISSUE 11, P1605-1606, November 2012

Extended Sublay repair: A modified open technique for lumbar hernias

      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.
      • Shekkariz B.
      • Graziottin T.M.
      • Gholami S.
      • et al.
      Transperitoneal preperitoneal laparoskopic lumbar incisional herniorraphy.
      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.
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