Laparoscopic Repair of Left Lumbar Hernia After Laparoscopic Left Nephrectomy

Abstract

Laparoscopic transabdominal preperitoneal repair of a lumber hernia after laparoscopic retroperitoneal surgery can be performed safely with minimum postoperative pain.

Morphometric study of the triangle of Petit in human fetuses

“…15,16 In turn, acquired lower lumbar hernias are divisible into primary and secondary types, the former resulting from an excessive tonus of abdominal musculature, e.g., in obese elderly people, and the latter being a consequence of damage to the abdominal muscles and resulting in scar formation. [16][17][18] In adults, lower lumbar hernias affect men 3 times more often than women, especially those aged 40-60 years, and with a greater tendency to occur on the right side. 15,[19][20][21][22] The main symptom reported by patients is a pain or discomfort in the lumbar region, usually when tightening the abdominal musculature.…”

Bleichner’s hernia – lumbar hernia

“…In an anatomical study, Stumpf defined the anatomy and recommended a retromuscular sublay repair as the standard [15]. The efficacy of this approach was further emphasized in the sutureless “Meshplasty” as described in Garg et al [16] and Gagner et al [17] both of whom described a laparoscopic preperitoneal approach. A variation of this technique was reported by Shekarriz et al [18] and Sharma et al [19] as a transperitoneal preperitoneal laparoscopic approach which also utilized mesh.…”

Lumbar hernia repair: Myth or reality?

“…Lumbar hernia can be seen after laparoscopic and open nephrectomies, repair of abdominal aorta aneurysm and giant abdominal wall mass excision. [1] An interesting acquired lumbar hernia is believed to be from a case of herpes zoster exacerbation that resolved after resolution of the herpetic lesions. [6] The management of lumbar hernia is controversial.…”

“…Three hundred cases have been reported to date in the current literature. [1] Although many surgical techniques have been proposed for the management of these types of hernias, none of them has been recommended as the gold standard method. Because of its rarity, there has been difficulty in defining the margins of the defect, the presence of a bone limits operative maneuvers, concomitant paralysis of the muscles is a complicating factor, and there is a lack of sufficient experience among surgeons.…”