Retroperitoneal totally endoscopic prosthetic repair of a huge lumbar hernia: a case report

doi:10.3877/cma.j.issn.1674-6899.2021.03.010

Abstract

Abstract:

Objective

To summarize the diagnosis and treatment experience of a case of giant lumbar hernia through retroperitoneal laparoscopic total extraperitoneal patch repair, and to explore the feasibility of retroperitoneal totally endoscopic prosthetic repair of lumbar hernia.

Methods

Review the treatment experience of a case of giant lumbar hernia with retroperitoneal totally endoscopic prosthetic repair.

Results

We successfully performed the retroperitoneal totally endoscopic prosthetic repair for a patient with a giant lumbar hernia. The operation went smoothly. The postoperative follow-up was more than 1 year and the patient recovered well.

Conclusions

The overall incidence of lumbar hernia is very small, accounting for only 1%-2% of all external abdominal hernias. This article reports a case of a huge lumbar bulge caused by a seat belt strangulation in a car accident . We repaired it by retroperitoneal totally endoscopic prosthetic repair, R-TEP, which fully embodies the application of hierarchical anatomy in hernia repair.

Key words: Retroperitoneal laparoscopy, Total extraperitoneal, Lumbar hernia

Xing Liu, Binggen Li, Changfu Qin. Retroperitoneal totally endoscopic prosthetic repair of a huge lumbar hernia: a case report[J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2021, 14(03): 177-180.

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Figures/Tables 10

References 21

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