Grynfeltt hernia repair using a Kugel patch

Purpose To introduce a surgical technique for repairing Grynfeltt hernia using a Bard Kugel patch mesh. Method After incision and dissection, hernia was found behind the latissimus dorsi muscle. The retroperitoneal fat or sac was isolated from surrounding tissues and the retro muscular preperitoneal space was developed using blunt dissection at least 5 cm beyond the margins of defect in all directions. A proper size Kugel patch was placed into the place at least 3 cm beyond the muscular or rib edges. The defect was reduced and the mesh was fixed by interrupted sutures. Then the fibers of the latissimus dorsi muscle were reapproximated by loose absorbable suture. The skin was closed by continuous absorbable suture without any drainage. Results The patients had a mean hospital stay of 3.22 days. The follow-up ranged from 4 months to 2 years and there were no recurrences or any other significant postoperative complications. Conclusion Repairing Grynfeltt hernias using a Kugel patch can be successfully performed with the posterior approach. This method of repair is easy, safe, and effective.