Laparoscopic tension-free hernioplasty for lumbar hernia

Surg Endosc. 2003 Sep;17(9):1497. doi: 10.1007/s00464-002-4291-5. Epub 2003 Jun 19.

Abstract

Lumbar hernia, a defect of the posterior abdominal wall, is a very rare condition. The repair of a posterior abdominal wall hernia by simply closing the hernia port with sutures may not be adequate, especially when the herniation is due to a weakness in the abdominal wall. Recently, a simple, logical method of tension-free repair has become a popular means for the treatment of various abdominal wall hernias. Previous studies have advocated the use of tension-free repair for lumbar hernia; the technique uses a mesh replacement and requires an extensive incision. Herein we present a case of superior lumbar hernia. Our technique consisted of a laparoscopic tension-free hernioplasty with the application of a Prolene mesh. This technique, which provides an excellent operative view, is safe, feasible, and minimally invasive. We conclude that laparoscopic tension-free repair should be the preferred option for the treatment of lumbar hernia.

Publication types

  • Case Reports

MeSH terms

  • Abdominal Wall / surgery*
  • Aged
  • Feasibility Studies
  • Female
  • Hernia / diagnosis
  • Hernia / diagnostic imaging
  • Herniorrhaphy
  • Humans
  • Laparoscopy / methods*
  • Lumbosacral Region / surgery*
  • Magnetic Resonance Imaging
  • Minimally Invasive Surgical Procedures
  • Safety
  • Surgical Mesh
  • Tomography, X-Ray Computed