Transperitoneal laparoscopic repair of a dorsal lumbotomy incisional hernia

Authors

  • Stephen Faddegon Department of Urologic Sciences, University of British Columbia, Vancouver, BC
  • Jamie Wright Department of Urologic Sciences, University of British Columbia, Vancouver, BC
  • Christopher Nguan Department of Urologic Sciences, University of British Columbia, Vancouver, BC

DOI:

https://doi.org/10.5489/cuaj.513

Abstract

Hernias are a rare complication following muscle-splitting dorsal lumbotomy
surgery. At our centre, before the introduction of laparoscopic surgery, donor
nephrectomy for renal transplantation was performed via a dorsal lumbotomy
approach. We present a case of transperitoneal laproscopic repair of a dorsal
lumbotomy incisional hernia following donor nephrectomy using a quilted
2-sided expanded polytetrafluoroethylene (ePTFE) mesh. The procedure was
uncomplicated and required 2 hours operating time to complete. A 2-day
stay in hospital was observed for convalescence and the patient quickly returned
to routine activity after discharge. Advantages of the laparoscopic approach
include excellent visualization and wide coverage of the hernia defect under
direct vision. This case illustrates the benefits of laparoscopic repair of a rare
lumbotomy complication.

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Author Biographies

Stephen Faddegon, Department of Urologic Sciences, University of British Columbia, Vancouver, BC

Jamie Wright, Department of Urologic Sciences, University of British Columbia, Vancouver, BC

Christopher Nguan, Department of Urologic Sciences, University of British Columbia, Vancouver, BC

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How to Cite

Faddegon, S., Wright, J., & Nguan, C. (2013). Transperitoneal laparoscopic repair of a dorsal lumbotomy incisional hernia. Canadian Urological Association Journal, 2(2), 139–42. https://doi.org/10.5489/cuaj.513

Issue

Vol. 2 No. 2 (2008): CUAJ April

Section

Case Report

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