A case of idiopathic superior lumbar hernia repaired using a transabdominal laparoscopic approach.

Abstract

The patient is a 78-year-old woman who presented to our hospital with left lumbar back pain as her chief complaint. She was diagnosed with superior lumbar hernia. There was no history of abdominal or lumbar surgery, or trauma, so the condition was considered idiopathic. Mesh was placed laparoscopically to repair the hernia. She was discharged on the second postoperative day. One year has passed since the surgery, and there has been no recurrence of the hernia, nor have there been any complications such as neuropathic pain. Superior lumbar hernia is a type of abdominal wall hernia that protrudes through the superior lumbar triangle and is a relatively rare condition. Due to the lack of an established standard surgical procedure, various surgical techniques have been employed depending on the facility. Laparoscopic surgery was considered a minimally invasive and reliable method for hernia repair, providing good visualization in cases without intra-abdominal adhesions.