Laparoscopic incisional lumbar hernia repair.
OBJECTIVE
Incisional lumbar hernia is an uncommon hernia type. Open surgical procedures have significant postoperative morbidity and patient dissatisfaction, therefore, for the repair of seven incisional lumbar hernias, we attempted using an intraperitoneal laparoscopic technique that was described to have good short-term results and decreased morbidity.


METHODS
We applied a laparoscopic technique using polypropylene meshes in five patients and composite meshes in two patients to cover the defect, then placed prolene sutures and hernia staples to secure the mesh intraperitoneally.


RESULTS
The technique was successful in all patients, and they tolerated the procedure well. All did well after surgery, ambulating and eating a regular diet on postoperative day 1. No postoperative complications developed. At a mean follow-up of 34.1 months (range 17-43 months) none of them had pain, mass, or evidence of recurrence, and furthermore, cosmesis was excellent.


CONCLUSIONS
We believe that the laparoscopic approach is feasible, safe, and the least invasive choice for repairing difficult hernias such as incisional lumbar hernias.
Yavuz
N
N
General Surgery Department, Cerrahpasa Medical School, Istanbul University, Istanbul, Turkey.
Ersoy
Y E
YE
Demirkesen
O
O
Tortum
O B
OB
Erguney
S
S
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001672:Biocompatible Materials; D005260:Female; D006555:Hernia, Ventral / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy; D008161:Lumbosacral Region; D008297:Male; D008875:Middle Aged; D011126:Polypropylenes; D013526:Surgical Mesh
D001672:Biocompatible Materials; D011126:Polypropylenes