Underlay mesh repair for spontaneous lumbar hernia

Abstract

Underlay mesh repair for spontaneous lumbar hernia is feasible when the defect is small.

Grynfeltt Hernia with Spiegel Hernia: Report of a Rarely Encountered Case Running Head: Grynfeltt Hernia

“…On the other hand most of the surgeons are not familiar with laparoscopic view of the lumbar area for this rare hernia, so advanced laparoscopic skill and experiences are required in laparoscopic lumbar hernia repair. Also there are some various surgical techniques for lumbar hernia repair such as primary closure, fascial or gluteal flaps, and the use of mesh either underlay, inlay, or onlay (8,9). In our case that patient had Grynfeltt and Spigelian hernias together, we chose mesh repair onlay although the defect was small in order to avoid from recurrence.…”

Onlay mesh repair for spontaneous lumbar hernia: A case report

“…Nowadays in the era of meshplasty a non-absorbable mesh is usually preferred for reconstruction. Depending on the size of the defect, it can be placed as an onlay, inlay or underlay [8]. The onlay technique involves primary closure of the fascia defect and placement of a mesh over the anterior fascia.…”

Lumbar hernia: a diagnostic dilemma

“…If the defect is large then a large non-absorbable mesh may be put in the extraperitoneal space between the peritoneum and the muscle layer. It is fixed to the muscle layer with interrupted non-absorbable suture 2 9. This sub-lay mesh technique can be either routine or extended (significantly larger mesh size) with extended sub-lay technique recommended to decrease the chance of recurrence 10…”