Purpose: A very simple technique to repair a superior lumbar hernia is described. The location of this type of hernia, also known as the Grynfeltt-Lesshaft hernia, is defined by a triangle placed in the lumbar region.
Method: An unusual case of a 67-year-old woman with a superior lumbar hernia is reported. The diagnosis was made by physical examination.
Results: The defect of the posterior abdominal wall was repaired with a polypropylene dart mesh. The patient had no evidence of recurrence at 11 months follow up.
Conclusions: The surgical approach described in this paper is simple and easy to perform, and its result is comparable with other techniques that are much more sophisticated. No cases on the use of dart mesh to repair Grynfeltt-Lesshaft hernia have been reported by surgical journals indexed in PubMed.
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http://dx.doi.org/10.1007/s10029-009-0566-2 | DOI Listing |
Cureus
November 2024
Urology, Avitis Institute of Medical Sciences, Palakkad, IND.
Lumbar hernias are a rare form of abdomen wall hernias. As this is a rare disease, treatment options are not standardized. Most case reports, even recent ones, describe open techniques.
View Article and Find Full Text PDFCureus
November 2024
Division of Paediatric Surgery, Department of Health and Well-Being, Townsville Hospital and Health Service, Townsville, AUS.
A congenital lumbar hernia is a rare type of hernia that can affect children born with lumbo-costo-vertebral syndrome. This case report is the first to describe a hybrid laparoscopic-assisted approach, which enabled precise intra-operative localization of a pediatric congenital lumbar hernia, and definitive surgical repair was then undertaken through an open approach. Unlike prior studies that have focused solely on either open or laparoscopic techniques, this hybrid approach offers a new strategy to improve surgical accuracy, particularly where imaging and clinical examination are inconclusive.
View Article and Find Full Text PDFJ Visc Surg
December 2024
USL Toscana Sud Est, Grosseto, Italy.
Cureus
July 2024
Surgery, Trumbull Regional Medical Center, Warren, USA.
Lumbar hernias are rare abdominal wall hernias that occur in the posterolateral abdominal wall. Intra-peritoneal or extra-peritoneal contents typically protrude through defects in one of two anatomical triangles. The superior lumbar triangle (Grynfeltt-Lesshaft triangle) is an inverted triangle bordered by the 12th rib superiorly, the internal oblique muscle laterally, and the erector spinae muscle medially.
View Article and Find Full Text PDFANZ J Surg
May 2024
Department of General Surgery, Oswaldo Cruz Hospital, Pernambuco University, Recife, Brazil.
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