V-036 LAPAROSCOPIC MANAGEMENT OF ATYPICAL PRESENTATION OF PRIMARY GRYNFELTT HERNIA

Abstract The rarest posterior abdominal wall defect with retro and intra peritoneal contents through the upper lumbar posterolateral associated weakening of triangle is grynfeltt -lesshaft hernia. Lumbar hernia initially small asymptomatic expands over time may lead to mild symptoms gradually leading definitely grave complications. Grenynfeltt –lesshaft quite often missed due unfamiliar nature . Correcting surgically only treatment option. Performing early elective management preferred avoid presentations are very limited in number its laparoscopic hernioplasty was shown minimal series. Laparoscopic principle similarity inguinal undoubtedly best modality Presentation case A 50 yrs healthy male without any past surgical history nil comorbidities presented a swelling right loin region progressive more prominent on cough. Diagnosis confirmed by ultrasonography. repaired Trans pre-peritoneal approach. It successfully completed laparoscopically no conventional method used. On follow up patient doing well signs infection or seroma formation noted. Discussion approach far advanced superior open adequate long-term results.