Pornkul Panuwat, Buschel Helen B, Carroll Daniel
Division of General Surgery, Townsville Hospital and Health Service, Townsville, AUS.
Department of Surgery, School of Medicine, James Cook University, Townsville, AUS.
Cureus. 2024 Nov 7;16(11):e73239. doi: 10.7759/cureus.73239. eCollection 2024 Nov.
A congenital lumbar hernia is a rare type of hernia that can affect children born with lumbo-costo-vertebral syndrome. This case report is the first to describe a hybrid laparoscopic-assisted approach, which enabled precise intra-operative localization of a pediatric congenital lumbar hernia, and definitive surgical repair was then undertaken through an open approach. Unlike prior studies that have focused solely on either open or laparoscopic techniques, this hybrid approach offers a new strategy to improve surgical accuracy, particularly where imaging and clinical examination are inconclusive. Our literature review found that open and laparoscopic repair of congenital lumbar hernias are both safe and feasible approaches, with the choice of either depending on the surgeon's preference and expertise.
先天性腰椎疝是一种罕见的疝类型，可影响患有腰肋椎综合征的儿童。本病例报告首次描述了一种混合腹腔镜辅助方法，该方法能够在术中精确定位小儿先天性腰椎疝，然后通过开放手术进行确定性手术修复。与以往仅专注于开放或腹腔镜技术的研究不同，这种混合方法提供了一种提高手术准确性的新策略，特别是在影像学和临床检查结果不明确的情况下。我们的文献综述发现，先天性腰椎疝的开放手术和腹腔镜修复都是安全可行的方法，具体选择取决于外科医生的偏好和专业技能。
