J Korean Surg Soc.  2011 Oct;81(4):287-290. 10.4174/jkss.2011.81.4.287.

Laparoscopic total extraperitoneal repair of lumbar hernia

Affiliations
  • 1Department of Surgery, Hallym Sacred Heart Hospital, Hallym University College of Medicine, Anyang, Korea. dhyang@hallym.or.kr
  • 2Department of Urology, Hallym Sacred Heart Hospital, Hallym University College of Medicine, Anyang, Korea.

Abstract

Lumbar hernia is a rare surgical entity without a standard method of repair. With advancements in laparoscopic techniques, successful lumbar herniorrhaphy can be achieved by the creation of a completely extraperitoneal working space and secure fixation of a wide posterior mesh. We present a total extraperitoneal laparoendoscopic repair of lumbar hernia, which allowed for minimal invasiveness while providing excellent anatomical identification, easy mobilization of contents and wide secure mesh fixation. A total extraperitoneal method of lumbar hernia repair by laparoscopic approach is feasible and may be an ideal option.

Keyword

Lumbar hernia; Grynfeltt hernia; Laparoscopic repair; Extraperitoneal repair

MeSH Terms

Hernia
Herniorrhaphy

Figure

  • Fig. 1 A CT scan showed herniation of retroperitoneal fat and descending colon through the fascial defect at the left superior lumbar triangle.

  • Fig. 2 Position of trocars.

  • Fig. 3 Laparoscopic view of hernia defect.

  • Fig. 4 Design of polypropylene mesh (15 × 15 cm).

  • Fig. 5 Postoperative wounds.


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