Resumen
Las hernias lumbares son defectos congénitos o adquiridos que se producen en la pared posterolateral del abdomen, a nivel del triángulo superior de Grynfelt o en el triángulo inferior de Petit. Suele tratarse de pequeñas hernias asintomáticas en las que se palpa una masa, pero que en ocasiones producen dolor. Se han descrito muchas técnicas para su tratamiento mediante un abordaje laparoscópico o convencional. En la presente nota clínica describimos el caso de una paciente con una hernia lumbar que fue tratada mediante cirugía abierta con la colocación de una malla preperitoneal fijada con fibrina.
Palabras clave: Hernia lumbar; Grynfelt Malla
Abstract
Lumbar hernias are rare defects involving two weak areas of the posterolateral wall that may be congenital or adquired: the superior lumbar triangle of Grynfeltt, which is the most common site, and the inferior lumbar triangle of Petit. Lumbar hernia is the protrusion of intraperitoneal or extraperitoneal contents through a defect of the abdominal wall. Lowerback pain is the most common symptom, although small hernias may be asymptomatic except for a palpable mass. Many techniques have been described for the surgical repair of lumbar hernias. Adequate surgical treatment depends largely on the type and size of the hernia and both open and laparoscopic techniques can be used with good results. We report a case of superior lumbar hernia, which was successfully repaired using an open mesh surgical repair
Keywords: Lumbar hernia; Grynfeltt Mesh