PMC7415095_01
Right superior lumbar hernia bulge while performing a Valsalva maneuver.
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On physical examination, a reducible right flank bulge was noted to increase in size when performing a Valsalva maneuver or standing from a seated position (Figure 2).
Left lateral decubitus positioning with trocar placement. 5 mm trocars were inserted in the right subcostal area and in the right lower quadrant. The 12 mm trocar was placed along the midclavicular line.
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Additional 5 mm and 12 mm trocars were inserted in the right subcostal line (Figure 3).
(a) Preoperative CT scan demonstrating a superior lumbar hernia defect containing retroperitoneal fat. (b) Postoperative imaging 3 months after surgery.
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Pre- and postoperative CT imaging can be seen in Figures 4(a) and 4(b).