Case Report
 
Onlay mesh repair for spontaneous lumbar hernia: A case report
Biswal Jayanta Kumar1, Mahapatra Tanmaya2, Guria Sourabh2, Supreet Kumar2, Meher Dibyasingh2, Kanhat Karesh Samu2
1MS, Associate Professor, Department of General Surgery, S.C.B. Medical College, Cuttack, Odisha, India.
2Postgraduate, Department of General Surgery, S.C.B. Medical College, Cuttack, Odisha, India.

Article ID: Z01201607CR10674BK
doi:10.5348/ijcri-201686-CR-10674

Address correspondence to:
Dr. Tanmaya Mahapatra
Chandrama Nivas, Sarathi Nagar, Berhampur, Ganjam
Odisha
India, 760002

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How to cite this article
Biswal JK, Tanmaya M, Sourabh G, Supreet K, Dibyasingh M, Kanhat KS. Onlay mesh repair for spontaneous lumbar hernia: A case report. Int J Case Rep Images 2016;7(7):481–485.


Abstract
Introduction: Lumbar hernia is a rare hernia. It herniates through the superior lumbar triangle (Grynfeltt-Lesshaft triangle) or inferior lumbar triangle (Petit triangle). It can be classified as congenital or acquired, which may be primary or secondary.
Case Report: A 70-year-old male with a reducible left sided superior lumbar hernia. Intraoperatively, there was a small defect and it was repaired with primary closure and an onlay meshplasty. The patient was absolutely asymptomatic during the follow-up.
Conclusion: Though there are many techniques for repair of lumbar hernia, in case of a small defect, a primary repair with a tension free onlay meshplasty can be a quick procedure with good result.

Keywords: Flank swelling, Grynfeltt-Lesshaft triangle, Inferior lumbar triangle, Lumbar hernia, Onlay mesh repair, Superior lumbar triangle


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Author Contributions
Jayanta Kumar Biswal – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Tanmaya Mahapatra – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Sourabh Guria – Acquisition of data, Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Supreet Kumar – Acquisition of data, Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Dibyasingh Meher – Acquisition of data, Drafting the article, Final approval of the version to be published
Kanhat Karesh Samu – Acquisition of data, Drafting the article, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2016 Jayanta Kumar Biswal et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



About The Authors

Jayanta Kumar Biswal is Associate Professor in the Department of General Surgery at Sriram Chandra Medical College and Hospital, Cuttack, Odisha, India. He earned undergraduate degree (MBBS) and postgraduate degree (MS) in General Surgery from the same institution. His area of interest includes parotid, hernia and laparoscopic surgery. He has published three papers in national academic journals.



Tanmaya Mahapatra is Postgraduate Trainee in the Department of General Surgery at Sriram Chandra Medical College and Hospital, Cuttack, Odisha, India. He earned undergraduate degree (MBBS) from M.K.C.G. Medical College, Berhampur, Odisha, India.



Sourabh Guria is Postgraduate Trainee in the Department of General Surgery at Sriram Chandra Medical College and Hospital, Cuttack, Odisha, India. He earned undergraduate degree (MBBS) from the same institution.



Supreet Kumar is Postgraduate Trainee in the Department of General Surgery at Sriram Chandra Medical College and Hospital, Cuttack, Odisha, India. He earned undergraduate degree (MBBS) from M. V. J. Medical College and Hospital, Bangalore, Karnataka, India.



Dibyasingh Meher is Postgraduate Trainee in the Department of General Surgery at Sriram Chandra Medical College and Hospital, Cuttack, Odisha, India. He earned undergraduate degree (MBBS) from the same institution.



Karesh Samu Kanhat is Postgraduate Trainee in the Department of General Surgery at Sriram Chandra Medical College and Hospital, Cuttack, Odisha, India. He earned undergraduate degree (MBBS) from Topiwala National Medical College and B.Y.L. Nair Hospital, Mumbai, Maharashtra, India.