Traumatic lumbar hernia: A surgical challenge. Case report

Abstract

Introduction: Lumbar hernias represent a very low proportion in the incidence of wall abdominal hernias. They can be classified into congenital and acquired. The latter are in turn subdivided into primary and secondary. Traumatic secondary lumbar hernias account for 25% of all cases. The creation area of this hernia is mainly the Grynfelt triangle and less frequently the Petit triangle. Lumbar hernia has very moderate symptoms and the management is a surgical challenge cause the low incidence and marked anatomical difference, which requires interventions that include interdisciplinary management with fixation to pelvic structures, with large dissections of the lateral and back abdominal wall and the high probability of relapse. Clinical case: 29-year-old woman with a right lumbar traumatic hernia history, mesh correction onlay in 2015, presents new relapse with defect of 10 cm with intestinal handles that was taken to surgery. Correction double-mesh lumbar hernia with fixation to the pelvis using osteosynthesis material. Discussion: Diagnosis of lumbar hernia is usually made on physical examination and can be confirmed by studies with Images. Both the characteristics of the pathology and the specific characteristics of the surgical approach make traumatic lumbar hernia a surgical challenge, which requires proper planning and intervention by an experienced group.