Huang DY, Pan L, Chen MY, Fang J. Laparoscopic repair via the transabdominal preperitoneal procedure for bilateral lumbar hernia: Three cases report and review of literature. World J Clin Cases 2018; 6(10): 398-405 [PMID: 30283803 DOI: 10.12998/wjcc.v6.i10.398]
Corresponding Author of This Article
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
Research Domain of This Article
Medicine, Research & Experimental
Article-Type of This Article
Case Report
Open-Access Policy of This Article
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/
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
ARTICLE HIGHLIGHTS
Case characteristics
Two patients presented with bilateral lumbar masses without any clinical symptoms. One patient presented with right-sided abdominal pain, but she did not show any abdominal signs.
Clinical diagnosis
Most people have a bilateral lumbar bulge with or without symptoms, such as abdominal pain. The bulge will become more apparent after a long period of standing, coughing, or holding one’s breath. A contralateral bulge will shrink after patients are placed in a lateral position.
Differential diagnosis
Lumbar subcutaneous lipoma.
Imaging diagnosis
An abdominal computed tomography scan showed that the abdominal wall beside the two kidneys is weak, with part of the abdominal mesentery or colon included.
Treatment
Laparoscopic repair via the transabdominal preperitoneal procedure for a bilateral lumbar hernia.
Related reports
A bilateral lumbar hernia was previously repaired by open surgery, which is the first report of the use of laparoscopic technique for the repair of a bilateral lumbar hernia.
Experiences and lessons
Our study demonstrates that it is safe and efficient to use laparoscopic repair via transabdominal preperitoneal for a bilateral lumbar hernia, and provides an alternative way for the repair of bilateral lumbar hernias. Surgeons can use our method as long as they are proficient in laparoscopic repair of a unilateral lumbar hernia.
