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Related Concept Videos

Herniated Intervertebral Disc l: Introduction01:29

Herniated Intervertebral Disc l: Introduction

Intervertebral disc herniation refers to the displacement of the nucleus pulposus (the gel-like inner core of the disc) through a tear or weakened area in the annulus fibrosus (the outer fibrous ring). The displaced disc material extends beyond the normal boundaries of the disc space and may compress or irritate nearby spinal nerve roots or, less commonly, the spinal cord.Etiology and Risk FactorsHerniation commonly results from degeneration, in which aging reduces disc hydration and...

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Related Experiment Video

Updated: Jul 3, 2026

Clinical Application of Microscope-Assisted Minimally Invasive Anterior Lumbar Interbody Fusion
04:42

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Primary Grynfeltt Lumbar Hernia: A Case Report.

Krity Basnet1, Rupa Bhandari1, Shiv Raj Shah2

  • 1Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal.

JNMA; Journal of the Nepal Medical Association
|February 25, 2022
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Summary

Lumbar hernias, rare defects in the abdominal wall, are often misdiagnosed. Early diagnosis via CT scans and surgical repair, like laparoscopic mesh repair, improves patient outcomes for these uncommon conditions.

Keywords:
abdominal hernia; case report; surgical mesh.

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Area of Science:

  • Abdominal Wall Surgery
  • Hernia Repair
  • Diagnostic Imaging

Background:

  • Lumbar hernias result from weaknesses in the posterolateral abdominal wall, often occurring in specific anatomical triangles.
  • Primary lumbar hernias are rare and frequently misdiagnosed, delaying appropriate treatment.

Observation:

  • A 66-year-old male presented with a decade-long history of a growing left lumbar mass with vague pain.
  • Computed tomography confirmed a Grynfeltt hernia, a rare type of lumbar hernia.

Findings:

  • The patient successfully underwent a laparoscopic mesh repair for the Grynfeltt hernia.
  • The postoperative hospital stay was uneventful, indicating successful minimally invasive treatment.

Implications:

  • A high index of suspicion for lumbar hernias is crucial when evaluating lumbar masses.
  • Timely diagnosis using computed tomography and prompt surgical intervention (open or minimally invasive) can prevent complications associated with lumbar hernias.