Open vs laparoscopic repair of secondary lumbar hernias: a prospective nonrandomized study

Moreno-Egea, Alfredo; Torralba-Martínez, José Antonio; Morales, Germán; Fernández, Tomás Ramón; Girela, Enrique; Aguayo-Albasini, José Luís

doi:10.1007/s00464-004-9067-7

Cited by 104 publications

(97 citation statements)

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“…Surgery is usually the recommended treatment. [1] An open procedure is the classic method of repair for lumbar hernias, however, laparoscopic methods are more recently being described and recommended as being the best approach due to the well-known benefits of minimally invasive surgery: shorter length of hospital stay, less pain, and fewer wound complications. [1,4] A prospective nonrandomized study comparing open versus laparoscopic repair of 16 patients who underwent operation for lumbar hernias revealed one hernia recurrence with the open approach and no recurrences with the laparoscopic approach.…”

Section: Discussionmentioning

confidence: 99%

“…[1] An open procedure is the classic method of repair for lumbar hernias, however, laparoscopic methods are more recently being described and recommended as being the best approach due to the well-known benefits of minimally invasive surgery: shorter length of hospital stay, less pain, and fewer wound complications. [1,4] A prospective nonrandomized study comparing open versus laparoscopic repair of 16 patients who underwent operation for lumbar hernias revealed one hernia recurrence with the open approach and no recurrences with the laparoscopic approach. [1] The study also revealed a significant increase in postoperative morbidity in the open approach, however, in the laparoscopic approach, there was a higher incidence of intraoperative complications (two hematomas and one inferior epigastric artery lesion).…”

Section: Discussionmentioning

confidence: 99%

“…[1,4] A prospective nonrandomized study comparing open versus laparoscopic repair of 16 patients who underwent operation for lumbar hernias revealed one hernia recurrence with the open approach and no recurrences with the laparoscopic approach. [1] The study also revealed a significant increase in postoperative morbidity in the open approach, however, in the laparoscopic approach, there was a higher incidence of intraoperative complications (two hematomas and one inferior epigastric artery lesion). [1] It has been shown that repair under controlled tension, usually required for providing a durable and recurrence-free repair, may not be feasible with the laparoscopic approach especially with the relative weakness of the surrounding fascial layers of the posterior abdomen.…”

Section: Discussionmentioning

confidence: 99%

“…[1] The first reported case was in 1731, and since then, only about 300 cases have been reported in the English literature. [2] Lumbar hernias occur through defects in the posterior-lateral abdominal wall.…”

Section: Introductionmentioning

confidence: 99%

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Bone anchor fixation method of an incarcerated Petit hernia in an elderly lady: Optimal management of a rare case

Abdrabboh

Mohamed

Elmoghrabi

et al. 2016

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Background: The first reported lumbar hernia was in 1731. Since then, only about 300 cases have been reported in the literature. Approximately 20% of lumbar hernias are congenital and the remainder are acquired. They commonly occur in males, more frequently on the left side, and the majority are reported in the sixth-to-seventh decade of life. Based on the anatomical defect, lumbar hernias are classified into two types: superior (Grynfeltt-Lesshaft) and Inferior (Petit). Petit hernias are less common and their proximity to bone can make them more difficult to repair. Several methods for optimal repair have been proposed. Since 2004, only 7 reports advocated surgical management using the bone anchor fixation method. Case description: A 79-year-old obese female presented to the outpatient clinic with a 1-year history of moderate right lumbar pain. Examination revealed a tender bulge in the posterior lumbar region. CT of the abdomen & pelvis revealed a 6.6 cm × 7.4 cm defect in the right posterolateral abdomen incorporating parts of the right ascending colon. She was diagnosed with right-sided Petit lumbar hernia and underwent an open hernia repair with iliac crest anchor fixation and mesh implantation. The postoperative course was uneventful and the patient was discharged in a stable condition. Conclusions: Lumbar hernias represent a rare clinical phenomenon, especially in females. A protruding mass in the lumbar region with localized abdominal pain and radiographic evidence of posterior abdominal wall defect should raise suspicion for a lumbar hernia. Predisposing factors such as old age, obesity and conditions that increase intra-abdominal pressure increase the risk of lumbar hernia. There is a current dilemma centered on the optimal type of surgical approach and repair technique. In our case, an open repair using the bone anchor fixation technique led to excellent results.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Bone anchor fixation method of an incarcerated Petit hernia in an elderly lady: Optimal management of a rare case

Abdrabboh

Mohamed

Elmoghrabi

et al. 2016

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“…6 Since the first laparoscopic repair in 1996, 7 at least 40 cases of laparoscopic lumbar hernia repair have been reported. [8][9][10][11][12][13] Lumbotomy hernias are often asymptomatic but usually come to medical attention because of pain, bulging over the incision or altered bowel habits. Provocation manoeuvres such as standing or coughing may cause ballooning.…”

Section: Discussionmentioning

confidence: 99%

Transperitoneal laparoscopic repair of a dorsal lumbotomy incisional hernia

Faddegon

Wright

Nguan

2013

CUAJ

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Hernias are a rare complication following muscle-splitting dorsal lumbotomysurgery. At our centre, before the introduction of laparoscopic surgery, donornephrectomy for renal transplantation was performed via a dorsal lumbotomyapproach. We present a case of transperitoneal laproscopic repair of a dorsallumbotomy incisional hernia following donor nephrectomy using a quilted2-sided expanded polytetrafluoroethylene (ePTFE) mesh. The procedure wasuncomplicated and required 2 hours operating time to complete. A 2-daystay in hospital was observed for convalescence and the patient quickly returnedto routine activity after discharge. Advantages of the laparoscopic approachinclude excellent visualization and wide coverage of the hernia defect underdirect vision. This case illustrates the benefits of laparoscopic repair of a rarelumbotomy complication.

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Controversies in the Current Management of Lumbar Hernias

Moreno-Egea¹

2007

Arch Surg

192

218

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Background: Abdominal wall surgery has changed dramatically in recent years. The current management of lumbar hernias should reflect the development of modern imaging techniques and new forms of noninvasive treatment. Objective: To review and update knowledge on lumbar hernias. Data Sources: Literature review using MEDLINE with the key words "lumbar hernia" for the years 1950 through 2004. For an analysis prior to this date (1750-1950), we used cases reported by Thorek. Our own study of 28 patients was also included. Study Selection: All articles reporting clinical cases on lumbar hernia. Data Extraction: Two reviewers analyzed the epidemiological, clinical, and treatment data of the articles. Data Synthesis: One hundred thirty-five clinical case articles and 8 studies with more than 5 patients, together with our personal experience of 28 cases, were ana

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Open vs laparoscopic repair of secondary lumbar hernias: a prospective nonrandomized study

Abstract: The laparoscopic approach to secondary lumbar hernia repair is more efficient and more profitable than the traditional open technique.

Cited by 104 publications

References 10 publications

Bone anchor fixation method of an incarcerated Petit hernia in an elderly lady: Optimal management of a rare case

Bone anchor fixation method of an incarcerated Petit hernia in an elderly lady: Optimal management of a rare case

Transperitoneal laparoscopic repair of a dorsal lumbotomy incisional hernia

Controversies in the Current Management of Lumbar Hernias

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