Abstract
Lumbar hernia is a protrusion of intraperitoneal or extraperitoneal tissues through posterior abdominal wall defect and is considered to be a rare condition. We present a case of 65-year-old lady with primary spontaneous superior lumbar hernia treated laparoscopically, with the detailed operative steps and post-operative follow-up. With the growing experience in laparoscopic inguinal hernia repair, same technique, instruments and device used in transabdominal preperitoneal (TAPP) repair can be applied to treat selected cases of lumbar hernia with good outcome.
Highlights
Lumbar hernias are considered to be a rare condition and very few cases are encountered in a surgeon’s career
Lumbar hernia is a protrusion of intraperitoneal or extraperitoneal tissues through posterior abdominal wall defect and is considered to be a rare condition
We present a case of 65-year-old lady with primary spontaneous superior lumbar hernia treated laparoscopically, with the detailed operative steps and post-operative follow-up
Summary
Lumbar hernias are considered to be a rare condition and very few cases are encountered in a surgeon’s career. Lumbar hernias are located in the Thoracolumbar region. Further classification and description of boundaries was done by Petit (1783) and Grynfelt (1866) into inferior and superior triangles, respectively; apart from the site of their occurrence, there are different classifications of the lumbar hernias. None of them discussing TAPP procedure in detail. This report presents a case of primary spontaneous superior lumbar hernia treated laparoscopically, the first case to be published from Saudi Arabia. The operative steps will be detailed to highlight the feasibility and the relative simplicity of this procedure
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