The Primary Lumbar Hernia: Open or Laparoscopic Approach?

Gopi Singh L, Chiranjeevi S, Krishna Ramavath*, Harshitha Rani HM, Lekha Komparu and Sreepada Nutan

Department of General Surgery, All India Institute of Medical Sciences, India

^*Correspondance to: Krishna Ramavath 

 PDF  Full Text DOI: 10.25107/2474-1647.3387

Abstract

Introduction: Lumbar hernia is a rare entity of abdominal wall hernia. Due to varied presentation it poses a challenge in diagnosis and management to attending surgeon. The requirement of preoperative imaging and clinical examination has indispensable role in the diagnosis; surgical (open or laparoscopic) approach is the only treatment option. Case Report: A 44 year old male presented with a swelling over left lumbar region since two years, associated with dragging sensation, and diagnosed as lumbar hernia preoperatively. He was successfully managed by laparoscopic mesh hernioplasty and had a good outcome. Discussion: The lumbar hernia may be primary or secondary with only about 300 cases of primary lumbar hernia reported in literature. The two possible defects in the posterior abdominal wall through which lumbar hernia can manifest are superior and inferior lumbar triangle. The superior triangle being more common. The management remains surgical with various techniques emerging over the years. The patient at our center underwent laparoscopic sub lay mesh repair with excellent outcome. Conclusion: The primary lumbar hernia is a rare entity that a surgeon may encounter once in his lifetime making it an interesting surgical challenge. The adequate knowledge of preoperative imaging and anatomy are indispensable. With advances in minimally invasive surgery, it can be applied to patients with lumbar hernia and management requires a more tailored approach. This condition can be managed by laparoscopic approach successfully.

Keywords

Lumbar Hernia; Primary lumbar hernia; Laparoscopy; Mesh hernioplasty; Computed tomography

Cite the article

Gopi Singh L, Chiranjeevi S, Ramavath K, Harshitha Rani HM, Komparu L, Nutan S. The Primary Lumbar Hernia: Open or Laparoscopic Approach?. Clin Surg. 2021; 6: 3387..