腰疝非常罕见,当初级或自发性质时更是如此。腰椎区域的这些缺陷需要对侧腹壁和椎旁肌的解剖结构有全面的了解。鉴于骨骼结构的接近,当试图实现理想的解剖和适当的网状物重叠时,它们可能会构成手术挑战。作者报告了一例原发性Petit's疝,采用腹膜前网片进行了开放的前路手术。除了描述的手术技术,本文还旨在详细介绍这种罕见病理的诊断和解剖分类。
Lumbar hernias are quite rare, even more so when primary or of spontaneous nature. These defects in the lumbar region demand a comprehensive knowledge of the anatomy of the lateral abdominal wall and paraspinal muscles. Given the proximity of bone structures, they can pose a surgical challenge when trying to achieve an ideal dissection and appropriate mesh overlap. The authors report the case of a primary Petit\'s hernia that underwent an open anterior surgical approach with the use of a preperitoneal mesh. In addition to the described surgical technique, the article also aims to detail the diagnosis and anatomic classification of this rare pathology.