Case report and review of lumbar hernia

Abstract

Lumbar hernias are uncommon and about 300 cases have been reported till date. They commonly occur due to trauma, surgery and infection. They are increasingly being reported after motor vehicle collision injuries. However, spontaneous lumbar hernias are rare and are reported infrequently. It is treated with different surgical approaches and methods. We report a case of primary spontaneous lumbar hernia which was repaired by transperitonial laparoscopic approach using Vypro (polypropylene/polyglactin) mesh and covered with a peritoneal flap.

Fig. 1

Axial view, CT abdomen showing the lumbar hernia.

Fig. 2

Retroperitoneal opend and the L hernia contents being reduced.

Fig. 3

Mesh placed over the defect and anchored with tacks.

Fig. 4

Peritonial flaps were used to cover the entire mesh.