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Case Series
Lumbar hernias: The simplicity of open repair
1 BSc, MD, MS, General Surgical Registrar, Department of General Surgery, Austin Hospital, Heidelberg, Victoria, Australia
2 MBBCh, FCS (SA), FRACS, General Surgeon, Department of General Surgery, Central Gippsland Health, Victoria, Australia
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Maryum Qureshi
Austin Hospital, 145 Studley Road, Heidelberg, VIC 3084,
Australia
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Article ID: 101493Z01MQ2025
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Qureshi M, Strauss P. Lumbar hernias: The simplicity of open repair. Int J Case Rep Images 2025;16(1):24–28.ABSTRACT
Introduction: Lumbar hernias are an extremely rare condition characterized by a defect in the posterior abdominal wall. Surgical repair is the recommended treatment to prevent strangulation, obstruction, incarceration, or perforation of abdominal contents within the hernia sac.
Case Series: In this case series, we present two patients with a lumbar hernia. A 52-year-old male presented with a traumatic right inferior lumbar hernia containing the base of cecum and appendix, and an 84-year-old female presented with an iatrogenic left inferior lumbar hernia containing descending colon. Both patients underwent a successful open repair of the hernia with insertion of an extraperitoneal polypropylene mesh. Their recovery was uneventful and both patients were discharged on the first postoperative day with no complications on follow up.
Conclusion: Lumbar hernia is a rare clinical entity. An inferior lumbar hernia is more uncommon than a superior lumbar hernia. We present two cases managed with safe, effective and reproducible surgical treatment.
Keywords: Extraperitoneal mesh, Incarceration, Lumbar hernia, Open surgical repair, Strangulation
SUPPORTING INFORMATION
Author Contributions
Maryum Qureshi - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Paul Strauss - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2025 Maryum Qureshi et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
