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Lumbar Hernia

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Abstract

The lumbar area is bounded above by the 12th rib, below by the iliac crest, behind by the erector spinae (sacrospinalis) and in front by the posterior border of the external oblique (a line passing from the tip of the 12th rib to the iliac crest). Within this area two triangles are described: the superior lumbar triangle (of Grynfelt) and the inferior lumbar triangle (of Petit). The superior lumbar triangle is an inverted triangle, its base is the 12th rib, its posterior border is the erector spinae and its anterior border the posterior margin of the external oblique, its apex is at the iliac crest inferiorly. The base of the inferior lumbar triangle is the iliac crest, its anterior border is the posterior margin of the external oblique muscle, its posterior border is the anterior edge of the latissimusdorsi muscle and its apex is superior. Both the superior and the inferior lumbar triangles vary in size depending on the attachments of muscles to the iliac crest (Fig. 19.1). The floor of both triangles is the thoracolumbar fascia incorporating the internal oblique and the transverses abdominis to a variable degree.

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Authors and Affiliations

  1. Department of General and Vascular Surgery, Ceynowa Hospital in Wejherowo, Wejherowo, Poland

    Maciej Śmietański

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  1. Maciej Śmietański
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Correspondence to Maciej Śmietański .

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Editors and Affiliations

  1. , Department of Surgery, Peninsula College of Medicine & Dentistr, N/A, Plymouth, PL4 8AA, Devon, United Kingdom

    Andrew N. Kingsnorth

  2. , Surgeons Group of Baton Rouge, Our Lady of the Lake Physician Group, N/A, Baton Rouge, 70808, Louisiana, USA

    Karl A. LeBlanc

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Śmietański, M. (2013). Lumbar Hernia. In: Kingsnorth, A., LeBlanc, K. (eds) Management of Abdominal Hernias. Springer, London. https://doi.org/10.1007/978-1-84882-877-3_19

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  • DOI: https://doi.org/10.1007/978-1-84882-877-3_19

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-84882-876-6

  • Online ISBN: 978-1-84882-877-3

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