Laparoscopic surgery for treatment of incisional lumbar hernia
AUTOR(ES)
Tobias-Machado, M., Rincon, Freddy J., Lasmar, Marco T., Zambon, Joao P., Juliano, Roberto V., Wroclawski, Eric R.
FONTE
International braz j urol
DATA DE PUBLICAÇÃO
2005-08
RESUMO
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.
Documentos Relacionados
- Open surgery better than laparoscopic for repair of inguinal hernia
- Repair of incisional hernia after median sternotomy.
- Hérnia incisional: modelo experimental em coelhos
- Análise de fatores preditivos de ressecção visceral no tratamento operatório de doentes portadores de hérnia incisional gigante com perda de domicílio submetidos a pneumoperitônio progressivo pré-operatório
- Perfil epidemiológico de pacientes com hérnia incisional