J Korean Surg Soc.  2011 Dec;81(Suppl 1):S74-S77. 10.4174/jkss.2011.81.Suppl1.S74.

Laparoscopic transabdominal extraperitoneal mesh repair of lumbar hernia

• Nam SY
• Kee SK
• Kim JO

• KMID: 1445791
• DOI: http://doi.org/10.4174/jkss.2011.81.Suppl1.S74

Abstract

Lumbar hernias are rare posterolateral abdominal wall defects that may be congenital or acquired. There are two types of lumbar hernia, the superior lumbar hernia through Grynfeltt triangle, and the inferior lumbar hernia through Petit triangle. Many techniques have been described for the surgical repair of lumbar hernias including primary repair, local tissue flaps, and conventional mesh repair. But these open techniques require a large skin incision. We report a case of superior lumbar hernia, which was successfully repaired using a laparoscopic approach.

Keyword

Lumbar; Hernia; Laparoscopic surgey

MeSH Terms

Abdominal Wall
Hernia
Skin

Figure

• 

  Fig. 1 Abdominal computed tomography shows herniated retroperitoneal fat through left superior lumbar triangle.

• 

  Fig. 2 After completion of dissection, this picture shows a round abdominal wall defect.

• 

  Fig. 3 Anchoring of mesh begins at psoas muslce, then divide sutures, unroll mesh. Finally, mesh is entirely fixed by using spiral tackers.

Reference

1. Lee S, Chang HJ, Lee LH, Hong YR, Jung SW, Kim SK, et al. Superior lumbar hernia. J Korean Surg Soc. 2010. 78:62–65.

2. Park HR, Baek SK, Lee TS, Bae OS, Park SD. Lumbar hernia combined with descending colon incarceration. J Korean Surg Soc. 2006. 71:482–485.

3. Di Carlo I, Toro A, Sparatore F, Corsale G. Lumbar hernia repaired using a new technique. Am Surg. 2007. 73:54–57.

4. Heniford BT, Iannitti DA, Gagner M. Laparoscopic inferior and superior lumbar hernia repair. Arch Surg. 1997. 132:1141–1144.

5. Habib E. Retroperitoneoscopic tension-free repair of lumbar hernia. Hernia. 2003. 7:150–152.

6. Burick AJ, Parascandola SA. Laparoscopic repair of a traumatic lumbar hernia: a case report. J Laparoendosc Surg. 1996. 6:259–262.

7. Moreno-Egea A, Baena EG, Calle MC, Martínez JA, Albasini JL. Controversies in the current management of lumbar hernias. Arch Surg. 2007. 142:82–88.

8. Baker ME, Weinerth JL, Andriani RT, Cohan RH, Dunnick NR. Lumbar hernia: diagnosis by CT. AJR Am J Roentgenol. 1987. 148:565–567.

9. Hide IG, Pike EE, Uberoi R. Lumbar hernia: a rare cause of large bowel obstruction. Postgrad Med J. 1999. 75:231–232.

10. Carbonell AM, Kercher KW, Sigmon L, Matthews BD, Sing RF, Kneisl JS, et al. A novel technique of lumbar hernia repair using bone anchor fixation. Hernia. 2005. 9:22–25.