title: Lumbar hernia treated with lightweight partially absorbable mesh: report of a case.
abstract: Superior lumbar hernia, also known as Grynfeltt-Lesshaft hernia, is an uncommon abdominal wall defect. We report a case of superior lumbar hernia, which was successfully treated with a lightweight partially absorbable mesh. A 73-year-old man visited our department with complaints of lumbar pain and a feeling of pressure associated with a right lumbar mass. A CT scan of the abdomen demonstrated a defect in the aponeurosis of the transversus abdominis muscle and a protrusion of the small intestine through the defect. The diagnosis of a right superior lumbar hernia was made. The lumbar hernia was surgically treated with a lightweight large-pore polypropylene mesh containing an absorbable component consisting of poliglecaprone (ULTRAPRO Plug). The patient had no evidence of recurrence after 4 years of follow-up without any sense of discomfort. This is the first case report of a lumbar hernia treated with a lightweight partially absorbable mesh. This partially absorbable mesh can be considered to be suitable for the treatment of a lumbar hernia.
authors.forename: Shohei
authors.initials: S
authors.lastname: Yamaguchi
authors.forename: Norifumi
authors.initials: N
authors.lastname: Tsutsumi
authors.forename: Eiji
authors.initials: E
authors.lastname: Kusumoto
authors.forename: Kazuya
authors.initials: K
authors.lastname: Endo
authors.forename: Koji
authors.initials: K
authors.lastname: Ikejiri
authors.forename: Yo-ichi
authors.initials: Y
authors.lastname: Yamashita
authors.forename: Hideaki
authors.initials: H
authors.lastname: Uchiyama
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Saeki
authors.forename: Eiji
authors.initials: E
authors.lastname: Oki
authors.forename: Hirofumi
authors.initials: H
authors.lastname: Kawanaka
authors.forename: Masaru
authors.initials: M
authors.lastname: Morita
authors.forename: Tetsuo
authors.initials: T
authors.lastname: Ikeda
authors.forename: Yoshihiko
authors.initials: Y
authors.lastname: Maehara
mesh_terms: D020341:Absorbable Implants; D000368:Aged; D004146:Dioxanes; D005500:Follow-Up Studies; D046449:Hernia, Abdominal / Q000000981:diagnostic imaging / Q000601:surgery*; D059685:Herniorrhaphy / Q000379:methods*; D006801:Humans; D008161:Lumbosacral Region; D008297:Male; D011091:Polyesters; D011126:Polypropylenes; D016062:Porosity; D013526:Surgical Mesh; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D004146:Dioxanes; D011091:Polyesters; D011126:Polypropylenes; C095495:glycolide E-caprolactone copolymer