Laparoscopic Repair of Left Lumbar Hernia After Left Nephrectomy

Abstract

The patient was a 70ʼs male with a past medical history of left nephrectomy for reanal cancer. Six months after the operation, he came to our hospital for a lump in his left posterior back. A CT scan revealed a left lumbar hernia containing the descending colon and the small intestine. At a operation a 7×9cm defect was found under laparoscopy. Operative repair was done using a Composix Mesh^® in the defect. The literature and our case support the notion that laparoscopic repair of lumbar hernias is safe and feasible. Strong consideration to the laparoscopic approach as an initial choice should be given when encountering lumbar hernias.