Laparoscopic transabdominal extraperitoneal repair of lumbar hernia

• Main Authors: Sharma A, Panse R, Khullar R, Soni V, Baijal M, Chowbey P
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2005-01-01
• Series: Journal of Minimal Access Surgery
• Subjects: Laparoscopy; lumbar hernia; tension free mesh repair; transabdominal preperitoneal repair
• Online Access: http://www.journalofmas.com/article.asp?issn=0972-9941;year=2005;volume=1;issue=2;spage=70;epage=73;aulast=Sharma

Lumbar hernias need to be repaired due to the risk of incarceration and strangulation. A laparoscopic intraperitoneal approach in the modified flank position causes the intraperitoneal viscera to be displaced medially away from the hernia. The creation of a wide peritoneal flap around the hernial defect helps in mobilization of the colon, increased length of margin is available for coverage of mesh and more importantly for secure fixation of the mesh under vision to the underlying fascia. Laparoscopic lumbar hernia repair by this technique is a tensionless repair that diffuses total intra-abdominal pressure on each square inch of implanted mesh. The technique follows current principles of hernia repair and appears to confer all benefits of a minimal access approach.