PMC8138152_01
Clinical examination of the patient. a A well-defined soft tissue mass in the left lumbar region. b Reduction of the mass revealed a huge defect involving all layers.
crg-0015-0431-g01.jpg
PMC8138152_01_crg-0015-0431-g01.jpg
F1
Reduction of this mass unmasked a huge fascial defect involving the whole layers (shown in Fig. 1).
Intraoperative photos. a, b A fascial defect between the posterior border of the external oblique anteriorly (x) and quadratus lumborum (+) posteriorly. c Plication of the fascial defect. d On-lay mesh repair using Ultrapro mesh.
crg-0015-0431-g02.jpg
PMC8138152_01_crg-0015-0431-g02.jpg
F2
As the defect is large, an on-lay mesh repair using Ultrapro mesh, a partially absorbable lightweight mesh, was done and fixed all around by vicryl 3/0 sutures (shown in Fig. 2).