چکیده (انگلیسی):

Introduction: Lumbar hernia account for less than 2% of al abdominal hernias, been the Grynfelt-Lesshaft's
hernia (GLH) more frequent than the others. With approximately 300 cases published in the
literature, the general surgeon may have the chance of treat it ones in their professional life.
Case report: A 42-years old male with human immunodeficiency virus and Diabetes Mellitus presented
to the outpatient clinic with a GLH. Preoperative classified as a type “A” lumbar hernia an open approach
was scheduled. We performed a Sandwich technique with a sublay and onlay ULTRAPRO® mesh fixed
with PDS® II suture without complications and discharged the patient 24-h after. After six months, the
patient denied any complication.
Discussion: Primary (spontaneous) lumbar hernias represent 50e60% of all GLH. The preoperative
classification of a lumbar hernia is mandatory to propose the best surgical approach. According to the
classification of Moreno-Egea A et al., the best technique for our patient was an open approach. The
Sandwich technique has demonstrated good outcomes in the management of the GLH.
Conclusion: The surgical approach should be according to the classification proposed and to the experience
of the surgeon. The Sandwich technique has good outcomes.