Laparoscopic repair via the transabdominal preperitoneal procedure for bilateral lumbar hernia: Three cases report and review of literature

A lumbar hernia is a rare entity, and a bilateral lumbar hernia is much rarer. From May 2015 to October 2017, we treated only three patients with bilateral lumbar hernias. One patient came to the hospital presenting with right-sided abdominal pain, and the other two patients presented with bilateral lumbar masses. The previous bilateral lumbar hernia reported in the literature was repaired by open surgery. The laparoscopic approach via the transabdominal preperitoneal (TAPP) procedure with the self-gripping Parietex ProGrip™ mesh was performed at our center. The laparoscopic repair was conducted by a skilled hernia surgeon, and was successfully performed in the three patients. The patients resumed a semi-liquid diet and had no activity restriction after six hours following the operation. No antibiotics were used after the surgery. The operative times of the three patients were 120 min, 85 min, and 130 min. The blood loss volumes of the three patients were 20 mL, 5 mL, and 5 mL. The visual analogue scale pain scores of the three patients were 1, 2, and 2 on postoperative day 1, and were 1, 2, and 1 on postoperative day 3. No perioperative complications, such as bulge, wound infection and hematoma, occurred after the surgery. All of the patients were discharged on the third day after the operation. There was no chronic pain and no hernia recurrence during the follow-up. This study showed that the laparoscopic TAPP approach with the self-gripping mesh is safe and feasible, and can be considered an alternative method for the treatment of bilateral lumbar hernias.

[1]  P. Chowbey,et al.  Primary lumbar hernia: A rare case report and a review of the literature , 2019, Asian journal of endoscopic surgery.

[2]  S. di Saverio,et al.  Repair of primary and incisional hernias using composite mesh fixed with absorbable tackers: preliminary experience of a laparoscopic approach with a newly designed mesh in 29 cases , 2017, Updates in Surgery.

[3]  V. Radhakrishna,et al.  Bilateral superior lumbar hernias: a case report and review of literature , 2017 .

[4]  C. Claus,et al.  LAPAROSCOPIC REPAIR OF LUMBAR HERNIA (GRYNFELT): TECHNICAL DESCRIPTION , 2017, Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery.

[5]  M. Willcox.  Lumbar Herniation of Kidney following Iliac Crest Bone Harvest , 2016, Case Reports in Surgery.

[6]  K. Rattan,et al.  Congenital Lumbar Hernia: A 15-Year Experience at a Single Tertiary Centre , 2016, International journal of pediatrics.

[7]  X. Wei,et al.  Bilateral congenital lumbar hernias in a patient with central core disease – A case report , 2016, Neuromuscular Disorders.

[8]  B. Green,et al.  Traumatic lumbar hernia repair: experience at the Royal Brisbane and Women’s Hospital , 2017, Hernia.

[9]  M. Zheng,et al.  Implementation of the trans-abdominal partial extra-peritoneal (TAPE) technique in laparoscopic lumbar hernia repair , 2015, BMC Surgery.

[10]  B. Ramesh,et al.  Case report and review of lumbar hernia , 2014, International journal of surgery case reports.

[11]  J. Barret,et al.  Laparoscopic repair of non-complicated lumbar hernia secondary to a latissimus dorsi flap. , 2014, Journal of plastic, reconstructive & aesthetic surgery : JPRAS.

[12]  Cheuk-Kwan Sun,et al.  Single-incision laparoscopic total extraperitoneal repair for a Grynfeltt hernia: a case report , 2014, Journal of Medical Case Reports.

[13]  A. Bickel,et al.  Laparoscopic management of lumbar hernia , 1997, Surgical Endoscopy.

[14]  M. Nazim,et al.  Traumatic lumbar visceral herniation in a young woman☆ , 2013, International journal of surgery case reports.

[15]  A. Moreno-Egea,et al.  Surgical Options in Lumbar Hernia , 2013, Surgical innovation.

[16]  Sebastian Suárez,et al.  Laparoscopic repair of a lumbar hernia: report of a case and extensive review of the literature , 2013, Surgical Endoscopy.

[17]  Huaying Wang,et al.  Lumbar hernia associated with chronic obstructive pulmonary disease (COPD) , 2013, Pakistan journal of medical sciences.

[18]  C. García-Pardo,et al.  Low recurrence rate and low chronic pain associated with inguinal hernia repair by laparoscopic placement of Parietex ProGrip™ mesh: clinical outcomes of 220 hernias with mean follow-up at 23 months , 2013, Hernia.

[19]  A. Wakhlu,et al.  Congenital lumbar hernia: 20 years' single centre experience , 2012, Journal of paediatrics and child health.

[20]  D. Moon,et al.  Delayed Repair of a Traumatic Lumbar Hernia with Renal Rupture , 2012, The American surgeon.

[21]  J. O. Kim,et al.  Laparoscopic transabdominal extraperitoneal mesh repair of lumbar hernia , 2011, Journal of the Korean Surgical Society.

[22]  M. Lim,et al.  Laparoscopic total extraperitoneal repair of lumbar hernia , 2011, Journal of the Korean Surgical Society.

[23]  C. Berney,et al.  Traumatic lumbar hernia repair: a laparoscopic technique for mesh fixation with an iliac crest suture anchor , 2011, Hernia.

[24]  X. Feliu,et al.  Bilateral inguinal hernia repair: laparoscopic or open approach? , 2011, Hernia.

[25]  E. Reggio,et al.  Lumbar hernia following percutaneous nephrolitotomy , 2010, Clinics.

[26]  R. Bittner,et al.  Laparoscopic inguinal hernia repair: gold standard in bilateral hernia repair? Results of more than 2800 patients in comparison to literature , 2010, Surgical Endoscopy.

[27]  G. Garcea,et al.  Incarcerated small bowel within a spontaneous lumbar hernia , 2010, Hernia.

[28]  A. Polistena,et al.  Anatomical and Surgical Considerations on Lumbar Hernias , 2009, The American surgeon.

[29]  J. Skandalakis,et al.  Lumbar Hernia: Surgical Anatomy, Embryology, and Technique of Repair , 2006, The American surgeon.

[30]  A. Hamel,et al.  Lumbar hernia: anatomical basis and clinical aspects , 2008, Surgical and Radiologic Anatomy.

[31]  Maurício Chibata,et al.  Hérnia de Spiegel bilateral: relato de caso e revisão de literatura , 2007 .

[32]  G. Cavallaro,et al.  Primary Lumbar Hernia Repair: The Open Approach , 2007, European Surgical Research.

[33]  A. Moreno-Egea,et al.  Controversies in the current management of lumbar hernias. , 2007, Archives of surgery.

[34]  G. Okiemy,et al.  Hernie lombaire bilaterale du triangle de petit : A propos d'un cas , 2006 .

[35]  E. Eyuboğlu,et al.  Laparoscopic management of inferior lumbar hernia (Petit triangle hernia) , 2005, Hernia.

[36]  A. Grauls,et al.  The Retroperitoneoscopic Repair of a Lumbar Hernia of Petit Case report and Review of Literature , 2004, Acta chirurgica Belgica.

[37]  E. Habib.  Retroperitoneoscopic tension-free repair of lumbar hernia , 2003, Hernia.

[38]  A. Meinke.  Totally extraperitoneal laparoendoscopic repair of lumbar hernia , 2003, Surgical Endoscopy And Other Interventional Techniques.

[39]  H. Bonjer,et al.  Endoscopic extraperitoneal repair of a Grynfeltt hernia , 2002, Surgical Endoscopy.

[40]  A. Wakhlu,et al.  Congenital lumbar hernia , 2000, Pediatric Surgery International.

[41]  I. Hide,et al.  Lumbar hernia: a rare cause of large bowel obstruction , 1999, Postgraduate medical journal.

[42]  M. Gagner,et al.  Laparoscopic inferior and superior lumbar hernia repair. , 1997, Archives of surgery.

[43]  A. J. Burick,et al.  Laparoscopic repair of a traumatic lumbar hernia: a case report. , 1996, Journal of laparoendoscopic surgery.

[44]  P. Narayan,et al.  Lumbar herniation of the kidney. , 1988, The Journal of urology.

[45]  C. Hafner,et al.  Petit's lumbar hernia: repair with Marlex mesh. , 1963, Archives of surgery.

[46]  C. Dowd.  CONGENITAL LUMBAR HERNIA, AT THE TRIANGLE OF PETIT. , 1907, Annals of surgery.