Abstract
Flank, or lumbar, hernias result from defects in the posterolateral abdominal wall. These are rare hernias, with several studies indicating as few as 300 cases reported in the literature. Flank hernias can be either acquired, usually from trauma or incisional, or congenital which generally occur in two anatomic locations: the inferior or superior lumbar triangles. Lumbar hernias are challenging to repair, principally because the boundaries of the defect are bony (iliac crest or 12th rib), thus making mesh fixation difficult. Given the rare nature of these defects, there is no consensus on technique of repair, nor are there significant prospective trials. Minimally invasive techniques have been applied since 1996 (Burick AJ, Parascandola SA, J Laparoendosc Surg 6(4):259–62, 1996) to these challenging defects. This chapter will review flank hernias and discuss several technical considerations in performing laparoscopic repair.
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