Kawakami Koki, Moriwaki Yoshihiro, Otani Jun
Department of Surgery, Unnan City Hospital, 96-1 Ida, Unnan City 699-1221. Japan.
J Surg Case Rep. 2024 Oct 3;2024(10):rjae608. doi: 10.1093/jscr/rjae608. eCollection 2024 Oct.
The patient is a 78-year-old woman who presented to our hospital with left lumbar back pain as her chief complaint. She was diagnosed with superior lumbar hernia. There was no history of abdominal or lumbar surgery, or trauma, so the condition was considered idiopathic. Mesh was placed laparoscopically to repair the hernia. She was discharged on the second postoperative day. One year has passed since the surgery, and there has been no recurrence of the hernia, nor have there been any complications such as neuropathic pain. Superior lumbar hernia is a type of abdominal wall hernia that protrudes through the superior lumbar triangle and is a relatively rare condition. Due to the lack of an established standard surgical procedure, various surgical techniques have been employed depending on the facility. Laparoscopic surgery was considered a minimally invasive and reliable method for hernia repair, providing good visualization in cases without intra-abdominal adhesions.
该患者为一名78岁女性，以左腰背部疼痛为主诉前来我院就诊。她被诊断为上腰椎疝。既往无腹部或腰部手术史及外伤史，因此该病情被认为是特发性的。通过腹腔镜放置补片修复疝。术后第二天她出院了。手术至今已过去一年，疝未复发，也未出现诸如神经性疼痛等并发症。上腰椎疝是一种通过上腰椎三角突出的腹壁疝，是一种相对罕见的病症。由于缺乏既定的标准手术方法，不同的医疗机构采用了各种手术技术。腹腔镜手术被认为是一种微创且可靠的疝修补方法，在无腹腔粘连的情况下能提供良好的视野。
