A case of superior lumbar hernia repaired using the mesh plug method

Abstract

A 57-year-old woman was admitted to the hospital because of a soft mass in the left lumbar region. The mass measured 7cm in size. Abdominal computed tomography and magnetic resonance imaging revealed the dignosis of left superior lumbar hernia. At operation, the hernia orifice was found to be about 2cm in diameter, with the retroperitoneal fat tissue prolaping through the orifice. A mesh plug was inserted into the orifice and an onlay patch was fixed to the superior lumbar triangle. The postoperative course was uneventful, and the patient has been followed up for 15 months without any evidence of recurrence.
Lumbar hernia is a very rare condition. Hernia repair using the mesh plug method is advantageous, as it allows tension-free repair without complications.