DOI: http://dx.doi.org/10.18203/2349-2902.isj20215161

The primary lumbar hernia with multiple defects: a rare case

Gopisingh Lavudya, Chiranjeevi Sainatham, Lekha Komarapu, Krishna Ramavath, Harshitha Rani Hassan Mohankumar, Nuthan Sreepadagh

Abstract


Lumbar hernia is a rare entity of abdominal wall hernia. Due to varied presentation it poses a challenge in diagnosis and management to attending surgeon. The requirement of preoperative imaging and clinical examination has indispensable role in the diagnosis and surgical (open or laparoscopic) approach is the only treatment option. We are presenting a case of 44 year old male, diagnosed as lumbar hernia with multiple defects and successfully managed by laparoscopic mesh hernioplasty. The primary lumbar hernia is a rare entity that a surgeon may encounter once in his lifetime making it an interesting surgical challenge. The adequate knowledge of preoperative imaging and anatomy are indispensable. With advances in minimally invasive surgery, it can be applied to patients with lumbar hernia and management requires a more tailored approach. This condition can be managed by laparoscopic approach successfully.


Keywords


Lumbar hernia, Primary lumbar hernia, Laparoscopy, Mesh hernioplasty, Computed tomography

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References


Walgamage TB, Ramesh BS, Alsawafi Y. Case report and review of lumbar hernia. Int J Surg Case Rep. 2015;6:230-2.

Moreno-Egea A, Baena EG, Calle MC, MartĂ­nez JAT, Albasini JLA. Controversies in the Current Management of Lumbar Hernias. Arch Surg. 2007;142(1):82-8.

Sharma A, Pandey A, Rawat J, Ahmed I, Wakhlu A, Kureel SN. Congenital lumbar hernia: 20 years’ single centre experience. J. Paediatr. Child Health. 2012;48:1001-3.

Loukas M, El-Zammar D, Shoja M et al. The clinical anatomy of the triangle of Grynfeltt. Hernia. 2008;12:227-31.

Suarez S, Hernandez JD. Laparoscopic repair of a lumbar hernia: report of a case and extensive review of the literature. Surg. Endosc. 2013;27:3421-9.

Baker ME, Weinerth JL, Andriani RT, Cohan RH, Dunnick NR. Lumbar hernia: diagnosis by CT. AJR. 1987;148(3):565-7.

Moreno-Egea A, Alcaraz AC, Cuervo MC. Surgical options in lumbar hernia: laparoscopic versus open repair. A long-term prospective study. Surg Innov. 2013;20(4):331-44.

Sharma A, Panse R, Khullar R, Soni V, Baijal M, Chowbey PK. Laparoscopic transabdominal extraperitoneal repair of lumbar hernia. J Minim Access Surg. 2005;1:70-3.

Lin R, Teng T, Lin L, Lu F. Sublay repair for primary superior lumbar hernia with the Kugel patch. ANZ J Surg. 2020;90:776-80.