Minimally invasive approach to recurrent lumbar hernia secondary to nephrectomy.
Introduction: lumbar hernia is a rare defect of the posterior abdominal wall, it represents between 1-2% of all abdominal hernias. Given its low frequency, only approximately 300 cases have been described in the literature since 1731. There is still not enough data to suggest a definitive repair met...
- Autores:
- Tipo de recurso:
- Fecha de publicación:
- 2022
- Institución:
- Pontificia Universidad Javeriana Cali
- Repositorio:
- Vitela
- Idioma:
- spa
- OAI Identifier:
- oai:vitela.javerianacali.edu.co:11522/484
- Acceso en línea:
- https://revistas.javerianacali.edu.co/index.php/salutemscientiaspiritus/article/view/683
https://vitela.javerianacali.edu.co/handle/11522/484
- Palabra clave:
- Hernia lumbar
Hernia incisional
Laparoscópica
Cirugía ambulatoria
Lumbar hernia
Incisional hernia
Laparoscopy
Ambulatory surgery
- Rights
- License
- Derechos de autor 2023 Salutem Scientia Spiritus
| Summary: | Introduction: lumbar hernia is a rare defect of the posterior abdominal wall, it represents between 1-2% of all abdominal hernias. Given its low frequency, only approximately 300 cases have been described in the literature since 1731. There is still not enough data to suggest a definitive repair method. The choice of the open or laparoscopic approach depends on the availability of resources and the experience of the surgeon. Objective: to present a clinical case of a secondary lumbar hernia managed by a minimally invasive approach. Materials and methods: review of the clinical history, presentation and images of a patient with a diagnosis of left lumbar hernia secondary to nephrostomy 6 years ago, description of the surgical technique, operative findings and outcomes. Review of the literature on lumbar hernias and their respective management. Results: 57-year-old woman with symptomatic left lumbar hernia secondary to nephrostomy 6 years ago. History of two interventions to correct the hernia without improvement. Correction was performed by laparoscopic approach, the transabdominal preperitoneal (TAPP) technique. Conclusions: Due to the low incidence of this pathology and the lack of collective experience, there is no standardized surgical method. A management alternative is the minimally invasive approach with widely known advantages such as: shorter hospital stay, lower consumption of analgesics and lower rate of absenteeism from work. |
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