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

Authors: Sanjay Kujur MS FAIGES, Jeetendra Ku Sahu MS, Prof A N Behera MS FAIS FAIGES, Harish Ch Dhamudia MS, Kishan Soni PG

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i4.147

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].

Keywords: Onlay Mesh, Superior Lumbar Triangle (Grynfeltt), Inferior Lumbar Triangle (Petit’s Triangle), Sublay Mesh, Anterior Approach, Laparoscopic Repair, Preperitoneal Space.

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Corresponding Author

Sanjay Kujur MS FAIGES