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A Journal on Surgery

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Chirurgia 2016 April;29(2):53-5

language: English

Grynfeltt-Lesshaft hernia repair with prosthetic mesh: report of a case

Giovanni CESTARO 1, 2, Maurizio SABBATINI 2, Lucio PISCITELLI 2, Marco DE FAZIO 2, Michele PORCINI 2

1 Federico II University, Naples, Italy; 2 General Surgery Unit, S. Maria del Popolo degli Incurabili Hospital, Naples, Italy


Lumbar hernias are rare defects involving the postero-lateral abdominal wall, specifically lumbar region. This area can present two weak areas: the superior lumbar triangle of Grynfeltt-Lesshaft (more common) and the inferior lumbar triangle of Petit. Clinical manifestations often consist of lower back pain, but small hernias may clinically be asymptomatic and it can be misdiagnosed as a subcutaneous lipoma. We report a case of Grynfeltt-Lesshaft hernia that was incorrectly treated as a lipoma two years before and then we repaired with a polypropylene mesh successfully. After an accurate radiological evaluation, we decided to treat the patient with open approach, but a laparoscopic repair can be considered in selected cases.

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