ABSTRACT:

Lateral abdominal wall hernias are rare and complex defects that present unique surgical challenges due to their anatomical location and the underlying musculofascial structures involved. These hernias can result from congenital defects, such as those in the Grynfelt or Petit triangles, or from trauma. Surgical management typically requires a tailored approach to address the complexity of the defect and its potential for significant functional and aesthetic impact. We present the case of a 51-year-old male patient with a right lateral abdominal wall hernia classified as L4 according to the European Hernia Society (EHS) system. The hernia, which was reducible and asymptomatic, was successfully treated using an open surgical approach with sublay mesh reinforcement. A detailed review of the patient’s preoperative evaluation, surgical technique, and postoperative recovery is provided. The case is discussed in the context of the current literature on lateral hernias, highlighting key considerations for effective surgical intervention, including appropriate mesh placement, the importance of dissection technique, and the challenges posed by the anatomy of lateral defects. This case underscores the significance of individualized surgical strategies for managing lateral abdominal wall hernias and improving patient outcomes.

KEYWORDS :

Lateral abdominal wall hernia, hernia repair, sublay technique, abdominal wall defect, flank hernia.

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