Bilayer repair technique with mesh in petit lumbar hernia

Abstract

Aim: Lumbar hernias are rare; Petit’s lumbar hernia (PLH), which is among them, is a rarer hernia type. Surgical repair is a standard treatment after the diagnosis of lumbar hernia. Controversy continues regarding the surgical technique of repairing Petit’s lumbar hernia. With this study, we aim to share short term results we obtained from the application of bilayer repair technique with mesh (BRTM), which is a new method in petit lumbar hernia treatment.
 Material and Method: Five patients who were diagnosed with lumbar hernia and treated between 2017 and 2020 were examined retrospectively. 
 Results: Most patients consisted of women (n=4). The mean age was 58.2 years. As for the etiological reason of the disease, 3 patients were trauma-related and 2 patients were previous operations-related. The petit lumbar hernia defect diameter was 6.42. In all patients, BRTM was used. The mean length of hospitalization was 3.6 days. The mean follow-up duration was 13.8 months. There was no recurrence in any of the patients after follow-up. 
 Conclusion: PLH requires a difficult management from diagnosis to treatment. Thanks to such a strong BRTM, not merely tissue integrity can be ensured, but also anatomical structures will become more organized, and intra-abdominal pressure will be evenly distributed to the preperitoneal area, creating a suspensory mechanism, also, since recurrence will be minimized, we predict that the surgery operation can be performed safely through BRTM in petit lumbar hernia. To support this technique, long-term follow-up and multi-centered studies are necessary.