title: Underlay mesh repair for spontaneous lumbar hernia.
abstract: BACKGROUND
  Lumbar hernia is a rare condition with fewer than 300 cases reported in the literature. It arises through posterolateral abdominal wall defects, named the inferior triangle (Petit) and superior triangle (Grynfelt). It can be congenital or acquired, primary or secondary, peritoneal or extraperitoneal, reducible or complicated.
  
  
  METHODS
  We report a 63 year old female patient who presented to our hospital with a reducible right superior lumbar hernia. She underwent repair with underlay mesh after inversion of the sac and had a smooth postoperative course.
  
  
  CONCLUSIONS
  In contrast to the classical procedure the underlay mesh modification saved us from enlarging the defect, and was quick and associated with minimal tissue injury.
  
  
  CONCLUSIONS
  Underlay mesh repair for spontaneous lumbar hernia is feasible when the defect is small.
authors.affiliation: Department of General Surgery, Faculty of Medicine, The University of Jordan, Amman, Jordan. Electronic address: a.mismar@ju.edu.jo.
authors.forename: Ayman
authors.initials: A
authors.lastname: Mismar
authors.forename: Mahmoud
authors.initials: M
authors.lastname: Al-Ardah
authors.forename: Nader
authors.initials: N
authors.lastname: Albsoul
authors.forename: Nidal
authors.initials: N
authors.lastname: Younes