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Laparoscopic incisional lumbar hernia repair

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Abstract

Purpose

Incisional lumbar hernia is an uncommon hernia type. Open surgical procedures have significant postoperative morbidity and patient dissatisfaction, therefore, for the repair of seven incisional lumbar hernias, we attempted using an intraperitoneal laparoscopic technique that was described to have good short-term results and decreased morbidity.

Methods

We applied a laparoscopic technique using polypropylene meshes in five patients and composite meshes in two patients to cover the defect, then placed prolene sutures and hernia staples to secure the mesh intraperitoneally.

Result

The technique was successful in all patients, and they tolerated the procedure well. All did well after surgery, ambulating and eating a regular diet on postoperative day 1. No postoperative complications developed. At a mean follow-up of 34.1 months (range 17–43 months) none of them had pain, mass, or evidence of recurrence, and furthermore, cosmesis was excellent.

Conclusions

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

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Acknowledgments

This study was presented as a poster abstract at SAGES 2008 meeting, April 9–12, in Philadelphia, PA, USA.

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Authors and Affiliations

  1. General Surgery Department, Cerrahpasa Medical School, Istanbul University, Istanbul, Turkey

    N. Yavuz, O. B. Tortum & S. Erguney

  2. II. General Surgery Clinic, Vakif Gureba Research and Training Hospital, Istanbul, Turkey

    Y. E. Ersoy

  3. Urology Department, Cerrahpasa Medical School, Istanbul University, Istanbul, Turkey

    O. Demirkesen

  4. Estonsehir, 1. Mahalle, KV 28/1 Bahcesehir Yani, Kucukcekmece/Istanbul, Turkey

    Y. E. Ersoy

Authors
  1. N. Yavuz
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  2. Y. E. Ersoy
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  3. O. Demirkesen
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  4. O. B. Tortum
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  5. S. Erguney
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Corresponding author

Correspondence to Y. E. Ersoy.

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Yavuz, N., Ersoy, Y.E., Demirkesen, O. et al. Laparoscopic incisional lumbar hernia repair. Hernia 13, 281–286 (2009). https://doi.org/10.1007/s10029-009-0478-1

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  • DOI: https://doi.org/10.1007/s10029-009-0478-1

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