title: Laparoscopic tension-free hernioplasty for lumbar hernia.
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.
authors.affiliation: Department of Surgery, Nanto General Hospital, 2007-5 Umeno, Fukumitsumachi, Nishitonamigun, Toyama 939-1724, Japan. kaz_maeda01@yahoo.co.jp
authors.forename: K
authors.initials: K
authors.lastname: Maeda
authors.forename: E
authors.initials: E
authors.lastname: Kanehira
authors.forename: H
authors.initials: H
authors.lastname: Shinno
authors.forename: K
authors.initials: K
authors.lastname: Yamamura
mesh_terms: D034861:Abdominal Wall / Q000601:surgery*; D000368:Aged; D005240:Feasibility Studies; D005260:Female; D006547:Hernia / Q000175:diagnosis / Q000000981:diagnostic imaging; D059685:Herniorrhaphy; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008161:Lumbosacral Region / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D019060:Minimally Invasive Surgical Procedures; D012449:Safety; D013526:Surgical Mesh; D014057:Tomography, X-Ray Computed