title: Laparoscopic mesh repair for lumbar hernia after iliac crest bone harvest.
abstract: Lumbar hernia after iliac crest bone harvest is relatively rare. When it does occur, it presents as a flank abdominal protrusion through a lateroposterior abdominal wall defect. A laparoscopic approach for this type of hernia is reported to have advantages over the classic open method. Here, we present a case of a 49-year-old Caucasian man who presented with an enlarged left flank mass after iliac bone harvest for pseudarthrosis. He had undergone open onlay mesh repair for inferior lumbar hernia, but the hernia recurred 3 months postoperatively. Laparoscopic intraperitoneal onlay mesh repair using a composite mesh was performed 7 months after recurrence. The patient was discharged 6 days postoperatively without complications. No signs of recurrence were detected during 1-year follow-up period. The laparoscopic approach for lumbar hernia conferred excellent visualization of the hernia defect and enabled a safe mesh repair using intra-abdominal pressure to hold it in position. This approach provided all the benefits of minimally invasive surgery.
authors: Department of Surgery, Nippon Medical School Chiba Hokusoh Hospital, Inzai, Japan. a-matsu@nms.ac.jp.
authors: Akihisa
authors: A
authors: Matsuda
authors: Department of Surgery, Nippon Medical School Chiba Hokusoh Hospital, Inzai, Japan.
authors: Masao
authors: M
authors: Miyashita
authors: Department of Surgery, Nippon Medical School Chiba Hokusoh Hospital, Inzai, Japan.
authors: Satoshi
authors: S
authors: Matsumoto
authors: Department of Surgery, Nippon Medical School Chiba Hokusoh Hospital, Inzai, Japan.
authors: Nobuyuki
authors: N
authors: Sakurazawa
authors: Department of Surgery, Nippon Medical School Chiba Hokusoh Hospital, Inzai, Japan.
authors: Yoichi
authors: Y
authors: Kawano
authors: Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, Nippon Medical School, Tokyo, Japan.
authors: Takeshi
authors: T
authors: Matsutani
authors: Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, Nippon Medical School, Tokyo, Japan.
authors: Eiji
authors: E
authors: Uchida
mesh_terms: D006555:Hernia, Ventral / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D059685:Herniorrhaphy; D006801:Humans; D007085:Ilium; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D013526:Surgical Mesh; D020858:Tissue and Organ Harvesting / Q000009:adverse effects*
keywords: Laparoscopic surgery; lumbar hernia; mesh repair