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

作者：Bigolin Andre Vicente^*; Rodrigues Andre Petter; Trevisan Camila Gueresi; Geist Ana Brochado; Coral Roberto Vina; Rinaldi Natalino; Coral Roberto Pelegrini

来源：International Surgery, 2014, 99(5): 556-559.

DOI：10.9738/INTSURG-D-13-00135.1

• Hernia
• Lumbar hernia
• Open repair
• Prosthetic mesh repair

This report describes an alternative technique for Petit hernia repair. The treatment of lumbar hernias should follow the concept of tension-free surgery, and the preperitoneal space can be the best place for prosthesis placement. An obese patient had a bulge in the right lumbar region, which gradually grew and became symptomatic, limiting her daily activities and jeopardizing her quality of life. She had previously undergone 2 surgical procedures with different incisions. We created a preperitoneal space and attached a mesh in this position. Another prosthesis was placed on the muscles, with a suitable edge beyond the limits of the defect. There were no complications. It has been described as a safe and tension-free repair for Petit hernia. In larger defects, a second mesh can be used to prevent further enlargement of the triangle and also to provide additional protection beyond the bone limits.

• 出版日期2014-10