Evolving minimally invasive strategies for lumbar hernia repair: a video article comparing conventional laparoscopy, robotic surgery, and articulating laparoscopy.

Abstract

<h4>Purpose</h4>Lumbar hernia repair presents unique surgical challenges due to its rarity and complex anatomical location. This study aimed to compare 3 minimally invasive surgical approaches for lumbar hernia repair: conventional laparoscopy, robotic surgery, and articulating laparoscopy.<h4>Methods</h4>Three patients diagnosed with lumbar hernia underwent repair via the transabdominal preperitoneal approach using different minimally invasive techniques. Each patient was treated with one of 3 approaches: conventional laparoscopy, robotic surgery, or articulating laparoscopic instruments. Clinical outcomes, operative details, and costs were analyzed.<h4>Results</h4>Each technique demonstrated distinct advantages: conventional laparoscopy offered familiarity, robotic surgery provided enhanced visualization and maneuverability, while articulating instruments presented a cost-effective alternative with improved range of motion.<h4>Conclusion</h4>Multiple minimally invasive approaches for lumbar hernia repair are feasible, each with unique benefits, allowing surgeons to choose based on resource availability and expertise.