Laparosc Endosc Surg Sci . 2018; 25(4): 149-156 | DOI: 10.14744/less.2018.22932

Hybrid repair for secondary lumbar hernias: Three cases with different etiologies

Hakan Kulaçoðlu¹, Mehmet Özer^2
1Department of General Surgery, Ankara Hernia Center, Ankara, Turkey
²Department of General Surgery, Ankara Atatürk Training and Research Hospital, Ankara, Turkey

Lumbar hernia is a rare type of abdominal wall hernias. Among acquired lumbar hernias, secondary cases are less common than spontaneous ones. Although infections can cause lumbar hernias, most of the secondary hernias develop following surgical procedures or different types of traumas. These types of hernia are treated in comply with the principles of incisional hernia treatment. Herein a case series of three consecutive patient with secondary lumbar hernias are presented. The etiology differs in each case. The hernias were repaired with hybrid technique (laparoscopic plus open) with no perioperative events.

Keywords: Hernia repair, hybrid repair; laparoscopy; lumbar hernia; mesh.

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Sekonder lumbar hernilerin hibrid onarýmý: farklý etiyolojilere baðlý üç olgu

Hakan Kulaçoðlu¹, Mehmet Özer^2
1Ankara Fýtýk Merkezi
²Ankara Atatürk Eðitim Ve Araþtýrma Hastanesi

Lumbar herni nadir bir fýtýk tipi olup edinilmiþ lumbar hernilerin çoðu spontan fýtýklardýr. En sýk sekonder lumbar herni nedenleri cerrahi giriþimler ve travmalar iken enfeksiyonlar da etiyolojide yer alabilir. Lumbar herniler kesi fýtýðý prensipleri ile tedavi edilirler. Bu yazýda peþ peþe baþvuruda bulunan 3 lumbar herni olgusu sunulmuþtur. Her vakada farlý etiyoloji rol oynamýþtýr. Onarýmlar karma yaklaþýmla yapýlmýþ (laparoskopik ve açýk) ve perioperatif komplikasyon geliþmemiþtir.

Anahtar Kelimeler: lumbar herni, herni onarýmý, yama, laparoskopi, hibrid onarým

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