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Laparoscopic tension-free hernioplasty for lumbar hernia

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Abstract

Lumbar hernia, a defect of the posterior abdominal wall, is a very rare condition. The repair of a posterior abdominal wall hernia by simply closing the hernia port with sutures may not be adequate, especially when the herniation is due to a weakness in the abdominal wall. Recently, a simple, logical method of tension-free repair has become a popular means for the treatment of various abdominal wall hernias. Previous studies have advocated the use of tension-free repair for lumbar hernia; the technique uses a mesh replacement and requires an extensive incision. Herein we present a case of superior lumbar hernia. Our technique consisted of a laparoscopic tension-free hernioplasty with the application of a Prolene mesh. This technique, which provides an excellent operative view, is safe, feasible, and minimally invasive. We conclude that laparoscopic tension-free repair should be the preferred option for the treatment of lumbar hernia.

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Authors and Affiliations

  1. Department of Surgery, Nanto General Hospital, 2007-5 Umeno, Fukumitsumachi, Nishitonamigun, Toyama 939-1724, Japan

    K. Maeda, H. Shinno & K. Yamamura

  2. Endosurgery Laboratory, Nanto General Hospital, 2007-5 Umeno, Fukumitsumachi, Nishitonamigun, Toyama 939-1724, Japan

    E. Kanehira

Authors
  1. K. Maeda
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  2. E. Kanehira
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  3. H. Shinno
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  4. K. Yamamura
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Correspondence to K. Maeda.

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Maeda, K., Kanehira, E., Shinno, H. et al. Laparoscopic tension-free hernioplasty for lumbar hernia . Surg Endosc 17, 1497 (2003). https://doi.org/10.1007/s00464-002-4291-5

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  • DOI: https://doi.org/10.1007/s00464-002-4291-5

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