Sandwiching a Lumbar Hernia: A Case Report.

Area of Science:

• Abdominal Surgery
• Hernia Repair
• Surgical Techniques

Background:

• Lumbar hernias involve intra-abdominal contents protruding through lumbar muscle defects.
• They are classified as primary or secondary based on cause.

Observation:

• A 65-year-old male presented with a 20-year history of right flank swelling and recent pain.
• Computed tomography confirmed a primary lumbar hernia in the inferior triangle.

Findings:

• The patient underwent open onlay mesh repair using a novel
• sandwich technique
• which involves placing two polypropylene meshes.
• This method enhances tensile strength and support, aiming to prevent recurrence.

Implications:

• This case highlights a rare presentation of primary lumbar hernia.
• The successful outcome suggests the
• sandwich technique
• is a promising approach for lumbar hernia repair.
• Further studies may validate this novel technique for broader application.