Hernias of the posterior abdominal wall, or lumbar hernias, occur anywhere between the 12th rib and the iliac crest. Compared with other hernias, lumbar hernias are relatively infrequent, with about 300 patients reported in the literature.1, 2 Many techniques have been described for surgical repair of lumbar hernias, including primary repair,3 local tissue flaps,4, 5 and conventional mesh