Laparoscopic surgery for treatment of incisional lumbar hernia.
OBJECTIVE
To present results obtained with laparoscopic correction of incisional lumbar hernia in patients with minimum follow-up of 1 year.


METHODS
We prospectively studied 7 patients diagnosed with incisional lumbar hernia after physical examination and computerized tomography. We used laparoscopic transperitoneal access through 3 ports. One polypropylene mesh was introduced in the abdominal cavity and fixed by titanium clamps to the margins of the hernia ring following release of the peritoneum.


RESULTS
All cases were successfully completed with no conversion required. Mean surgical time was 120 minutes and discharge from hospital occurred between the 1st and the 2nd postoperative days. There were no intraoperative complications or hernia recurrence in any case. Postoperatively, we had 2 minor complications: one case of seroma that resolved spontaneously after 60 days and one patient presenting lumbar pain that persisted until the 3rd postoperative month. The return to usual activities occurred on average 3 weeks following intervention. Of the 7 patients, 6 were satisfied with the esthetical and functional effect produced by the procedure.


CONCLUSIONS
The surgical correction of incisional lumbar hernia by laparoscopic access is an excellent option for a minimally invasive treatment, with adequate long-term results.
Tobias-Machado
M
M
Section of Urology, ABC Medical School, Santo Andre, Sao Paulo, Brazil. tobias-machado@uol.com.br
Rincon
Freddy J
FJ
Lasmar
Marco T
MT
Zambon
Joao P
JP
Juliano
Roberto V
RV
Wroclawski
Eric R
ER
D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D046449:Hernia, Abdominal / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008161:Lumbosacral Region; D008297:Male; D008875:Middle Aged; D011126:Polypropylenes / Q000627:therapeutic use*; D011183:Postoperative Complications / Q000601:surgery*; D011446:Prospective Studies; D013526:Surgical Mesh; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D011126:Polypropylenes