The Retroperitoneoscopic Repair of a Lumbar Hernia of Petit Case report and Review of Literature

Abstract

In this paper, we comment on a patient who consulted us because of his «lower backpain» together with the appearance of a small swelling at the left side. Anamnesis and clinical examination were suggestive and further simple diagnostic methods confirmed the exceptional diagnosis of a «lumbar hernia of Petit». We describe the retroperitoneoscopic approach of this hernia, its reduction and the fixation of a polypropylene mesh at the surrounding structures with a Tacker. This approach provided a good postoperative comfort, a shorter hospital stay and an early recovery of autonomy and activity.

Furthermore, we give a review of the literature concerning lumbar hernias and the evolution of the different reconstruction techniques.

Key words:

• Hernia
• Petit
• inferior lumbar triangle
• retroperitoneoscopy
• Marlex

Additional information

Notes on contributors

A. Grauls

A. Grauls Staaien 20 B-3800 Sint-Truiden, Belgium