title: Lumbar hernia repaired using a new technique.
abstract: Lumbar hernia is uncommon and occurs in Grynfeltt's triangle on the left side, more frequently in men than in women. Acquired lumbar hernias are the result of iliac crest bone harvest or blunt trauma and seat belt injuries in road accidents. Many surgical options have been reported for repairing this hernia through primary closure of the defect or through use of aponeurotic or prosthetic materials. The Dowd technique is the technique most often used. The authors describe a patient with posttraumatic inferior triangle lumbar hernia who underwent laparoscopy and, 10 days later, laparotomy. Both procedures failed. Finally, a novel lumbotomic surgical approach was used, involving the Dowd technique and prosthetic mesh. The patient was free of recurrence 3 months after the procedure.
authors.affiliation: Department of Surgical Sciences, Organ Transplantation, and Advanced Technologies, University of Catania, Cannizzaro Hospital, via Messina 829, 95126 Catania, Italy.
authors.forename: Isidoro
authors.initials: I
authors.lastname: Di Carlo
authors.forename: Adriana
authors.initials: A
authors.lastname: Toro
authors.forename: Francesca
authors.initials: F
authors.lastname: Sparatore
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Corsale
mesh_terms: D000063:Accidents, Traffic; D000328:Adult; D005500:Follow-Up Studies; D006547:Hernia / Q000000981:diagnostic imaging / Q000209:etiology; D059685:Herniorrhaphy; D006801:Humans; D008161:Lumbosacral Region; D008297:Male; D009135:Muscular Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D019919:Prosthesis Implantation / Q000379:methods*; D013526:Surgical Mesh; D014057:Tomography, X-Ray Computed