Single-incision laparoscopic total extraperitoneal repair for a Grynfeltt hernia: a case report

Journal of Medical Case Reports

Kun-Chou Hsieh²  Cheuk-Kwan Sun¹  Yaw-Sen Chen²  Ching-Ting Wei² 

[1]Department of Emergency Medicine, E-Da Hospital, I-Shou University, No.1, Yida Road, Jiao-su Village, Yan-chao District, Kaohsiung City 824, Taiwan

[2]Division of General Surgery, Department of Surgery, I-Shou University, No.1, Yida Road, Jiao-su Village, Yan-chao District, Kaohsiung City 824, Taiwan

关键词: Single-incision laparoscopy;    Grynfeltt hernia;    Extraperitoneal;   

Others  :  822924
DOI  :  10.1186/1752-1947-8-16

 received in 2013-06-23, accepted in 2013-11-25,  发布年份 2014

【 摘 要 】

Introduction

A superior lumbar hernia, which is also known as a Grynfeltt hernia, is a rare abdominal wall defect that can be primary or secondary to trauma or orthopedic surgery. The anatomic location of a lumbar hernia makes diagnosis and repair challenging. We successfully repaired a lumbar hernia using a single-incision laparoscopic total extraperitoneal approach. To the best of our knowledge, this is the first report of the use of this surgical technique in the treatment of a primary Grynfeltt hernia.

Case presentation

A 76-year-old Taiwanese man presented to our hospital with a left lower bulging mass noted for over three months. Abdominal computed tomography revealed a left Grynfeltt hernia. We performed a single-incision laparoscopic total extraperitoneal repair. Our patient was discharged uneventfully on the fourth day after the operation. There was no evidence of recurrence after six months of follow-up.

Conclusion

A laparoscopic total extraperitoneal repair for a lumbar hernia provides an excellent operative view and minimal invasiveness. The single-incision technique also provides better cosmetic outcomes. Our experience suggests that the single-incision laparoscopic total extraperitoneal approach may be a feasible and safe alterative to conventional approaches in lumbar hernia repair.

【 授权许可】

   
2014 Wei et al.; licensee BioMed Central Ltd.

【 图 表 】

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