title: Bilateral lumbar hernia associated with abdominal hernias. A case report.
abstract: Multiple abdominal hernias constitute a quite rare event in surgical practice. Lumbar hernias are even rarer and, to our knowledge, this is the first report in the English literature of its association with abdominal hernias. A case of multiple abdominal hernias, namely an epigastric hernia and a left inguinal hernia together with a bilateral lumbar hernia in a 65-year-old man attending the Out-patient department of Hoima Hospital-Uganda is described. A one-stage repair under local anaesthesia was chosen. The patient recovered uneventfully and no recurrence was noted at 1 year follow-up. This case report supports that a "one-stage" procedure under local anaesthesia can be appropriate as surgical treatment of multiple abdominal hernias when abdominal defects are of a small size. A minimal surgical approach to lumbar hernias seems also suitable when transverse muscle aponeurosis defect can be carefully repaired and covered with adjacent muscles.
authors.affiliation: Hoima Regional Teaching Hospital, Uganda.
authors.forename: E
authors.initials: E
authors.lastname: Cocozza
authors.forename: R R
authors.initials: RR
authors.lastname: Pidoto
authors.forename: M
authors.initials: M
authors.lastname: Ravera
mesh_terms: D000368:Aged; D005500:Follow-Up Studies; D006552:Hernia, Inguinal / Q000150:complications* / Q000601:surgery; D006555:Hernia, Ventral / Q000150:complications* / Q000601:surgery; D006801:Humans; D008297:Male; D013997:Time Factors