| HOW I DO IT DIFFERENTLY? |
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| Year : 2005 | Volume
: 1
| Issue : 2 | Page : 70-73 |
Laparoscopic transabdominal extraperitoneal repair of lumbar hernia
A Sharma, R Panse, R Khullar, V Soni, M Baijal, PK Chowbey
Department of Minimal Access Surgery, Sir Ganga Ram Hospital, New Delhi, India
Correspondence Address:
A Sharma
Department of Minimal Access Surgery, Room No. 200 (II floor), Sir Ganga Ram Hospital, New Delhi - 110 060
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0972-9941.16530
Lumbar hernias need to be repaired due to the risk of incarceration and strangulation. A laparoscopic intraperitoneal approach in the modified flank position causes the intraperitoneal viscera to be displaced medially away from the hernia. The creation of a wide peritoneal flap around the hernial defect helps in mobilization of the colon, increased length of margin is available for coverage of mesh and more importantly for secure fixation of the mesh under vision to the underlying fascia. Laparoscopic lumbar hernia repair by this technique is a tensionless repair that diffuses total intra-abdominal pressure on each square inch of implanted mesh. The technique follows current principles of hernia repair and appears to confer all benefits of a minimal access approach.
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