Resumo

MARQUEZ HERNANDEZ, Joaquín; BARRABIDIAZ, Alejandro; ARMAS PEREZ, Bárbaro Agustín  e  GUILLEN PACHECO, Breinier. Bilateral lumbar Grynfelt Lesshaft hernia: a new report. AMC [online]. 2016, vol.20, n.4, pp. 432-437. ISSN 1025-0255.

Background:  among lumbar hernias, congenital one is the less frequent and represents less than 20 %. From the acquired ones, the less observed is the spontaneous or primary. The anatomy of the posterior abdominal wall with its two triangles, inferior of Petit and superior of Grynfelt Lesshaft is presented. Lumbar hernias are named after them. Superior lumbar hernia is more common than the inferior and it originates in the superior triangle. The presence of bilateral hernia is unusual. Classification, diagnosis and treatment are updated. Objective: to show how infrequent is Grynfelt Lesshaft hernia since it is bilateral and treated with ambulatory surgery with local anaesthesia. Clinical case: the case of a patient diagnosed with spontaneous primary Grynfelt Lesshaft bilateral hernia is reported and treated with local anaesthesia in ambulatory surgery. Conclusions: anatomy of this region should be known and the effective treatment with different technical variants that permit to achieve therapeutic success in this type of hernia.

Palavras-chave : HERNIA ABDOMINAL [cirugía]; MALLAS QUIRÚRGICAS; LAPAROSCOPÍA; RESULTADO DEL TRATAMIENTO; INFORMES DE CASOS; HERNIA, ABDOMINAL [surgery]; SURGICAL MESH; LAPAROSCOPY; TREATMENT OUTCOME; CASE REPORTS.

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