Petit’s Lumbar Hernia- a Double Layer Technique for Tension Free Mesh Repair

Abstract

Since De Garengoet described first incarcerated hernia in 1731 Lumbar Hernia is relatively rare case, fewer than 300 cases reported in the literature. It occurs through the postero-superior lumbar triangle (Grynfeltt's) and less commonly in the inferior lumbar triangle (Petit's) [1] . Surgical treatment is recommended because of the risk of entrapment and strangulation [4].the incidence rate is less than 1.5% among all hernia cases [2] . patient with lumbar hernia can present with flank bulge accompanying with local discomfort and tenderness [3] . There are several treatments as per the facial defect [4] . For small defect direct approximation of muscle is sufficient. For larger defect facial flap or mesh fixation is essential {4, 5, and 6}.Nowadays laparoscopic Transabdominal extra peritonial repair of lumbar hernia is ideal [7] .