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Case Reports in Surgery
Volume 2017, Article ID 5839491, 4 pages
https://doi.org/10.1155/2017/5839491
Case Report

Open Approach to Primary Lumbar Hernia Repair: A Lucid Option

Department of Surgery, D. Y. Patil University School of Medicine, Nerul, Navi Mumbai 400706, India

Correspondence should be addressed to Ketan Vagholkar; moc.oohay@raklohgavk

Received 3 May 2017; Accepted 19 September 2017; Published 17 October 2017

Academic Editor: Cheng-Yu Long

Copyright © 2017 Ketan Vagholkar and Suvarna Vagholkar. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Lumbar hernia is a rare type of hernia. Awareness of the anatomical basis of this hernia is important for proper diagnosis and treatment. Introduction. Lumbar hernia is a protrusion of either extraperitoneal fat or intraperitoneal contents through either of the lumbar triangles. Primary lumbar hernias are extremely rare thereby rendering such a case reportable, to create an awareness about this condition to upcoming surgeons. Case Report. A case of primary lumbar hernia treated successfully by open mesh repair is presented. Discussion. The anatomical aspects underlying this condition along with diagnostic tests, their pitfalls, and surgical approaches are discussed. Conclusion. Awareness of this condition is essential for arriving at a clinical diagnosis. CT scan provides a road map for deciding the approach. Both the traditional open and the newer laparoscopic approaches are described. However open meshplasty is still a very safe and effective method of treatment.