Gagner Michel, Milone Luca, Gumbs Andrew, Turner Patricia
Herbert Wertheim College of Medicine, Florida International University, Department of Surgery, Miami, Florida, PO Box 336 H, Scarsdale, NY 10583, USA.
JSLS. 2010 Jul-Sep;14(3):405-9. doi: 10.4293/108680810X12924466007322.
Lumbar hernias, rarely seen in clinical practice, can be acquired after open or laparoscopic flank surgery. We describe a successful laparoscopic preperitoneal mesh repair of multiple trocar-site hernias after extraperitoneal nephrectomy. All the key steps including creating a peritoneal flap, reducing the hernia contents, and fixation of the mesh are described. A review of the literature on this infrequent operation is presented. Laparoscopic repair of lumbar hernias has all the advantages of laparoscopic ventral hernia repair.
腰椎疝在临床实践中较为罕见，可在开放性或腹腔镜侧腹手术后获得。我们描述了一例在腹膜外肾切除术后成功进行腹腔镜腹膜前补片修补多处套管针穿刺部位疝的病例。描述了包括创建腹膜瓣、回纳疝内容物和固定补片在内的所有关键步骤。并对有关这种罕见手术的文献进行了综述。腹腔镜修补腰椎疝具有腹腔镜修补腹前壁疝的所有优点。
