Laparoscopic incisional lumbar hernia repair

Abstract

We believe that the laparoscopic approach is feasible, safe, and the least invasive choice for repairing difficult hernias such as incisional lumbar hernias.

Lumbar hernia repair: Myth or reality?

“…The bone boundaries established for the hernia defect may also make adequate fixation of the synthetic material difficult. [9] In the current study, the open approach was used for the congenital and traumatic lumbar hernia cases. Traumatic lumbar hernia was first reported by Selby in 1906.…”

Incarcerated lumbar hernia: a rare presentation

“…Various laparoscopic approaches for repair have been identified ranging from a transperitoneal to an extraperitoneal approach. These have been reported in case series for incisional lumbar hernia, 5 but have not yet been fully evaluated for their efficacy. In this case, a midline laparotomy was chosen due to the presence of large bowel obstruction and the need to assess the viability of the hernia contents.…”

Clinical And Surgical Anatomy Of Lumbar Hernia: A Review

“…Incisional hernias may result from postoperative closure defects of the abdominal aponeuroses, non-parallel surgical approaches to the direction of the abdominal muscular fibers or denervation of the abdominal muscles by iatrogenic section of the nerves, similar situations also explain the emergence of traumatic PAP hernias [5,7]. These alterations in the abdominal wall structure compromise the biomechanical balance, resulting in fragility points susceptible to herniations [5,7].…”

“…There are also PAP hernias with nonspecific or diffuse localization, these can be caused by surgical incisions, traumas or congenital [5,9]. Incisional hernias may result from postoperative closure defects of the abdominal aponeuroses, non-parallel surgical approaches to the direction of the abdominal muscular fibers or denervation of the abdominal muscles by iatrogenic section of the nerves, similar situations also explain the emergence of traumatic PAP hernias [5,7].…”

“…Other non-specific regions for the appearance of HLAs are surgical or post-traumatic scars that, for some reason, have resulted in points of extreme fragility of PAP [4,5].…”