Case Report
Copyright ©The Author(s) 2018. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Sep 26, 2018; 6(10): 398-405
Published online Sep 26, 2018. doi: 10.12998/wjcc.v6.i10.398
Laparoscopic repair via the transabdominal preperitoneal procedure for bilateral lumbar hernia: Three cases report and review of literature
Di-Yu Huang, Long Pan, Ming-Yu Chen, Jing Fang
Di-Yu Huang, Long Pan, Ming-Yu Chen, Jing Fang, Department of General Surgery, Sir Run-Run Shaw Hospital, Zhejiang University, Hangzhou 310016, Zhejiang Province, China
Long Pan, Jing Fang, Key Laboratory of Laparoscopic Technique Research of Zhejiang Province, Sir Run-Run Shaw Hospital, Zhejiang University, Hangzhou 310016, Zhejiang Province, China
Author contributions: Huang DY and Pan L contributed equally to this work; Huang DY and Pan L designed the report; Chen MY and Fang J collected the clinical data of the patients; Huang DY and Pan L analyzed the data and wrote the paper.
Informed consent statement: The patients were not required to provide informed consent for this study because the study is retrospective and anonymous clinical data were collected after the patients had agreed to treatment via the laparoscopic technique and signed written surgical informed consent. The surgical informed consent has been uploaded with the manuscript.
Conflict-of-interest statement: The authors have no conflicts of interest to declare.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Di-Yu Huang, MD, Attending Doctor, Surgeon, Department of General Surgery, Sir Run-Run Shaw Hospital, Zhejiang University, Jianggan District, East Qingchun Road No. 3, Hangzhou 310016, Zhejiang Province, China. 3199007@zju.edu.cn
Telephone: +86-571-86006617 Fax: +86-571-86044817
Received: April 19, 2018
Peer-review started: April 19, 2018
First decision: June 4, 2018
Revised: June 22, 2018
Accepted: June 28, 2018
Article in press: June 28, 2018
Published online: September 26, 2018
Abstract

A lumbar hernia is a rare entity, and a bilateral lumbar hernia is much rarer. From May 2015 to October 2017, we treated only three patients with bilateral lumbar hernias. One patient came to the hospital presenting with right-sided abdominal pain, and the other two patients presented with bilateral lumbar masses. The previous bilateral lumbar hernia reported in the literature was repaired by open surgery. The laparoscopic approach via the transabdominal preperitoneal (TAPP) procedure with the self-gripping Parietex ProGrip™ mesh was performed at our center. The laparoscopic repair was conducted by a skilled hernia surgeon, and was successfully performed in the three patients. The patients resumed a semi-liquid diet and had no activity restriction after six hours following the operation. No antibiotics were used after the surgery. The operative times of the three patients were 120 min, 85 min, and 130 min. The blood loss volumes of the three patients were 20 mL, 5 mL, and 5 mL. The visual analogue scale pain scores of the three patients were 1, 2, and 2 on postoperative day 1, and were 1, 2, and 1 on postoperative day 3. No perioperative complications, such as bulge, wound infection and hematoma, occurred after the surgery. All of the patients were discharged on the third day after the operation. There was no chronic pain and no hernia recurrence during the follow-up. This study showed that the laparoscopic TAPP approach with the self-gripping mesh is safe and feasible, and can be considered an alternative method for the treatment of bilateral lumbar hernias.

Keywords: Bilateral lumbar hernia, Laparoscopic repair, Transabdominal preperitoneal, Self-gripping mesh

Core tip: This study reports the successful implementation of a transabdominal preperitoneal procedure with self-gripping mesh for the management of a bilateral lumbar hernia. There were no adverse events, chronic pain or recurrence occurring in any of the patients. The findings confirm the safety and feasibility of the technique, and support the application of the laparoscopic approach for bilateral lumbar hernia repair.