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Laparoscopic surgery for treatment of incisional lumbar hernia
- Source :
- International Brazilian Journal of Urology, Vol 31, Iss 4, Pp 309-314 (2005), International braz j urol, Volume: 31, Issue: 4, Pages: 309-314, Published: AUG 2005, International braz j urol v.31 n.4 2005, International Braz J Urol, Sociedade Brasileira de Urologia (SBU), instacron:SBU
- Publication Year :
- 2005
- Publisher :
- Sociedade Brasileira de Urologia, 2005.
-
Abstract
- OBJECTIVE: To present results obtained with laparoscopic correction of incisional lumbar hernia in patients with minimum follow-up of 1 year. MATERIALS AND METHODS: We prospectively studied 7 patients diagnosed with incisional lumbar hernia after physical examination and computerized tomography. We used laparoscopic transperitoneal access through 3 ports. One polypropylene mesh was introduced in the abdominal cavity and fixed by titanium clamps to the margins of the hernia ring following release of the peritoneum. RESULTS: All cases were successfully completed with no conversion required. Mean surgical time was 120 minutes and discharge from hospital occurred between the 1st and the 2nd postoperative days. There were no intraoperative complications or hernia recurrence in any case. Postoperatively, we had 2 minor complications: one case of seroma that resolved spontaneously after 60 days and one patient presenting lumbar pain that persisted until the 3rd postoperative month. The return to usual activities occurred on average 3 weeks following intervention. Of the 7 patients, 6 were satisfied with the esthetical and functional effect produced by the procedure. CONCLUSIONS: The surgical correction of incisional lumbar hernia by laparoscopic access is an excellent option for a minimally invasive treatment, with adequate long-term results.
- Subjects :
- Laparoscopic surgery
Adult
Male
operative
medicine.medical_specialty
Urology
medicine.medical_treatment
laparoscopy
Physical examination
Abdominal cavity
lumbar region
Polypropylenes
lcsh:RC870-923
hernia
Lumbar
Postoperative Complications
medicine
Humans
Hernia
Prospective Studies
Laparoscopy
Aged
medicine.diagnostic_test
business.industry
General surgery
Lumbosacral Region
Lumbar hernia
Middle Aged
Surgical Mesh
medicine.disease
lcsh:Diseases of the genitourinary system. Urology
Surgery
Hernia, Abdominal
surgical procedures
medicine.anatomical_structure
Treatment Outcome
surgical procedures, operative
Seroma
Female
business
Tomography, X-Ray Computed
Follow-Up Studies
Subjects
Details
- Language :
- English
- ISSN :
- 16776119 and 16775538
- Volume :
- 31
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- International Brazilian Journal of Urology
- Accession number :
- edsair.doi.dedup.....ea311abcedf6d5778fa8db0a01cc827f