“…Primary repair is challenging due to inadequate fascia around the defect making tensionless repair difficult [20]. Various primary repair [21], tissue flaps [9,17,22,23] and mesh repairs (including laparoscopic trans abdominal [3,[24][25][26][27] and retroperitoneoscopic approaches [19,[28][29][30] had been described. In view of the high failure rates observed in primary repair with facial closure, the principle of tensionless repair by the use of prosthesis became more popular in Lumbar hernia repairs.…”