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KMID : 0371320090770020149
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Journal of the Korean Surgical Society
2009 Volume.77 No. 2 p.149 ~ p.152
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Recurrence after Repair of Primary Acquired Grynfeltt Hernia
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Park Chan-Yong
Hur Young-Hoe
Kim Jung-Chul
Kim Shin-Kon
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Abstract
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Lumbar hernias are rare posterolateral abdominal wall defects. There are two types of lumbar hernia. One is a superior lumbar hernia through the deep superior orifice (Grynfeltt triangle), and the other is a lower lumbar hernia through the superficial lower orifice (Petit triangle). A lumbar hernia is often misdiagnosed as a lipoma, so a cautious clinical examination is very important. Reports of recurrent lumbar hernia are extremely rare in the literature. We experienced a case of recurrence in an acquired primary lumbar hernia in a 71-year-old male who had undergone mesh-plug herniorrhaphy. The hernia orifice was 1 cm in diameter and exhibited a fibrous smooth margin. Hernia repair using 3-D mesh was performed. The patient had uncomplicated postoperative course and was discharged one day after the operation.
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KEYWORD
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Lumbar hernia, Grynfeltt triangle, Recurrence, Acquired primary, 3-D mesh
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