{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T22:11:49Z","timestamp":1784671909912,"version":"3.55.0"},"reference-count":15,"publisher":"FapUNIFESP (SciELO)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ABCD, arq. bras. cir. dig."],"published-print":{"date-parts":[[2017,3]]},"abstract":"<jats:p>ABSTRACT Background: Lumbar hernias are rare. Usually manifest with reducible volume increase in the post-lateral region of the abdomen and may occur in two specific anatomic defects: the triangles of Grynfelt (upper) and Petit (lower). Despite controversies with better repair, laparoscopic approach, following the same principle of the treatment of inguinal hernias, seems to present significant advantages compared to conventional\/open surgeries. However, some technical and anatomical details of the region, non usual to general surgeons, are fundamental for proper repair. Aim: To present systematization of laparoscopic transabdominal technique for repair of lumbar hernias with emphasis on anatomical details. Method : Patient is placed in the lateral decubitus. Laparoscopic access to abdominal cavity is performed by open technique on the left flank, 1.5 cm incision, followed by introduction of 11 mm trocar for a 30\u00ba scope. Two other 5 mm trocars, in the left anterior axillary line, are inserted into the abdominal cavity. The peritoneum of the left paracolic gutter is incised from the 10th rib to the iliac crest. Peritoneum and retroperitoneal is dissected. Reduction of all hernia contents is performed to demonstrate the hernia and its size. A 10x10 cm polypropylene mesh is introduced into the retroperitoneal space and fixed with absorbable staples covering the defect with at least 3-4 cm overlap. Subsequently, is carried out the closure of the peritoneum of paracolic gutter. Results: This technique was used in one patient with painful increased volume in the left lower back and bulging on the left lumbar region. CT scan was performed and revealed left superior lumbar hernia. Operative time was 45 min and there were no complications and hospitalization time of 24 h. Conclusion: As in inguinal hernia repair, laparoscopic approach is safe and effective for the repair of lumbar hernias, especially if the anatomical details are adequately respected.<\/jats:p>","DOI":"10.1590\/0102-6720201700010016","type":"journal-article","created":{"date-parts":[[2017,4,27]],"date-time":"2017-04-27T19:21:52Z","timestamp":1493320912000},"page":"56-59","source":"Crossref","is-referenced-by-count":22,"title":["LAPAROSCOPIC REPAIR OF LUMBAR HERNIA (GRYNFELT): TECHNICAL DESCRIPTION"],"prefix":"10.1590","volume":"30","author":[{"given":"Christiano Marlo Paggi","family":"CLAUS","sequence":"first","affiliation":[{"name":"Nossa Senhora das Gra\u00e7as Hospital, Brazil; Universidade Positivo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucas Th\u00e1","family":"NASSIF","sequence":"additional","affiliation":[{"name":"Nossa Senhora das Gra\u00e7as Hospital, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan Sacha","family":"AGUILERA","sequence":"additional","affiliation":[{"name":"Nossa Senhora das Gra\u00e7as Hospital, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"EduardoJose Brommelstroet","family":"RAMOS","sequence":"additional","affiliation":[{"name":"Nossa Senhora das Gra\u00e7as Hospital, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julio Cesar Uili","family":"COELHO","sequence":"additional","affiliation":[{"name":"Nossa Senhora das Gra\u00e7as Hospital, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","reference":[{"key":"ref1","article-title":"Opera chirurgico-anatomica","volume":"26","author":"Barbette P.","year":"1672","journal-title":"Lugduni"},{"issue":"1","key":"ref2","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1007\/s10029-010-0722-8","article-title":"Grynfelt hernia: case report and literature review","volume":"16","author":"Cesar D","year":"2012","journal-title":"Hernia"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"441","DOI":"10.1007\/s10029-007-0232-5","article-title":"The clinical anatomy of the triangle of petit","volume":"11","author":"Loukas M","year":"2007","journal-title":"Hernia"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"609","DOI":"10.1007\/s00276-008-0396-4","article-title":"Lumbar hernia, anatomical basis and clinical aspects","volume":"30","author":"Loukas M","year":"2008","journal-title":"Surg Radiol Anat"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"533","DOI":"10.1007\/s00276-008-0361-2","article-title":"Lumbar hernia: Anatomical basis and clinical aspects","volume":"30","author":"Armstrong O","year":"2008","journal-title":"Surg Radiol Anat"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"681","DOI":"10.2214\/ajr.183.3.1830681","article-title":"Abdominal wall hernias: MDCT findings","volume":"183","author":"Aguirre DA","year":"2008","journal-title":"AJR"},{"issue":"2","key":"ref7","doi-asserted-by":"crossref","first-page":"188","DOI":"10.1007\/s10029-004-0278-6","article-title":"A Grynfeltt hernia: report of a case","volume":"9","author":"Skrekas G","year":"2005","journal-title":"Hernia"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"1141","DOI":"10.1001\/archsurg.1997.01430340095017","article-title":"Laparoscopic inferior and superior lumbar hernia repair","volume":"132","author":"Heniford BT","year":"1997","journal-title":"Arch Surg"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"3421","DOI":"10.1007\/s00464-013-2884-9","article-title":"Laparoscopic repair of a lumbar hernia: report of a case and extensive review of the literature","volume":"27","author":"Suares S","year":"2013","journal-title":"Surg Endosc"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1007\/s00464-004-9067-7","article-title":"Open vs laparoscopic repair of secondary lumbar hernias: a prospective nonrandomized study","volume":"19","author":"Egea AM","year":"2005","journal-title":"Surg Endosc"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"260","DOI":"10.1007\/s10029-004-0230-9","article-title":"Lumbar hernia: clinical analysis of 11 cases","volume":"8","author":"Zhou X","year":"2004","journal-title":"Hernia"},{"issue":"3","key":"ref12","article-title":"H\u00e9rnia de Grynfelt","volume":"26","author":"Alcoforado C","year":"2013","journal-title":"ABCD"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1007\/s10029-010-0722-8","article-title":"Grynfelt hernia: case report and literature review","volume":"16","author":"Cesar D","year":"2012","journal-title":"Hernia"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1590\/S1677-55382005000400003","article-title":"Laparoscopy surgery for treatment of incisional lumbar hernias","volume":"31","author":"Machado MT","year":"2005","journal-title":"Int Braz J Urol"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"318","DOI":"10.1177\/000313480607200408","article-title":"Laparoscopic lumbar hernia repair","volume":"72","author":"Madan AK","year":"2006","journal-title":"Am Surg"}],"container-title":["ABCD. Arquivos Brasileiros de Cirurgia Digestiva (S\u00e3o Paulo)"],"original-title":[],"link":[{"URL":"http:\/\/www.scielo.br\/pdf\/abcd\/v30n1\/0102-6720-abcd-30-01-00056.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,10,6]],"date-time":"2020-10-06T11:47:19Z","timestamp":1601984839000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0102-67202017000100056&lng=en&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,3]]},"references-count":15,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2017,3]]}},"alternative-id":["S0102-67202017000100056"],"URL":"https:\/\/doi.org\/10.1590\/0102-6720201700010016","relation":{},"ISSN":["0102-6720"],"issn-type":[{"value":"0102-6720","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,3]]}}}