Alabama medicine : journal of the Medical Association of the State of Alabama
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Groin hernias are one of the major problems handled by the surgeon. At this time there appears to be some clear indications for open repair, pretty clear indications for laparoscopic repair, less clear indications for one type anesthesia or the other. ⋯ Patients should usually be able to return to work, even at labor, within two weeks of the operation. Surgeons and patients should expect to experience a recurrence less than 2% of the time.
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Hernias occurring in the lumbar area are rare. The lumbar area is a broad anatomic area bordered superiorly by the 12th rib, interiorly by iliac crest, medially by the erector spinae muscle and laterally by the external oblique muscle. ⋯ Rarely hernias occur through bicortical surgical defect of iliac crest. We would like to present such a case and review the literature briefly.