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Japanese

Tension-free laparoscopic repair of superior lumbar hernia Sunao ITO 1 , Nobuhiro HARUKI 1 , Noriyuki SHINODA 1 , Koji MIZUGUCHI 1 , Akira KATO 2 , Yuki DENDA 1 1Department of Surgery, Toyota Memorial Hospital 2Department of Surgery, Toyokawa City Hospital Keyword: 腹腔鏡下手術 , 腰ヘルニア , 腹壁ヘルニア pp.335-339
Published Date 2018/5/15
DOI https://doi.org/10.11477/mf.4426200557
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Superior lumbar hernia is an uncommon clinical defects of the abdominal wall with various repairing techniques published in the literature. Here, we report a case of superior lumbar hernia treated with a laparoscopic approach. A 74-year-old Japanese man, 4 years after open radical prostatectomy, presented with a painful mass on his left back. Computed tomography revealed perirenal fat protruding through the posterolateral abdominal wall just below the left 12th limb, indicating a superior lumbar hernia. Defect in the aponeurosis of the transversalis muscle was confirmed by laparoscopy and polypropylene mesh was placed. Tension-free laparoscopic repair may have advantages over open repair for superior lumbar hernias. Additional case reports and further examination of the short- and long-term surgical results are necessary to establish tension-free laparoscopic surgery as the standard technique for hernia repair.


Copyright © 2018, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

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電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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