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Published on: August 11, 2023
Evolving minimally invasive strategies for lumbar hernia repair: a video article comparing conventional laparoscopy,
Ji Yeon Mun1, Bong-Hyeon Kye1, Nina Yoo1
1Department of Surgery, The Catholic University of Korea, St. Vincent's Hospital, Seoul, Korea.
Purpose:
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.
Methods:
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.
Results:
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.
Conclusion:
Multiple minimally invasive approaches for lumbar hernia repair are feasible, each with unique benefits, allowing surgeons to choose based on resource availability and expertise.
