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Case Reports
. 2024 Nov 7;16(11):e73239.
doi: 10.7759/cureus.73239. eCollection 2024 Nov.

A Case Report of Laparoscopic-Assisted Repair of a Rare Congenital Lumbar (Grynfeltt-Lesshaft) Hernia

Panuwat Pornkul  1   2 , Helen B Buschel  3 , Daniel Carroll  3
Affiliations
Case Reports

A Case Report of Laparoscopic-Assisted Repair of a Rare Congenital Lumbar (Grynfeltt-Lesshaft) Hernia

Panuwat Pornkul et al. Cureus. .

Abstract

A congenital lumbar hernia is a rare type of hernia that can affect children born with lumbo-costo-vertebral syndrome. This case report is the first to describe a hybrid laparoscopic-assisted approach, which enabled precise intra-operative localization of a pediatric congenital lumbar hernia, and definitive surgical repair was then undertaken through an open approach. Unlike prior studies that have focused solely on either open or laparoscopic techniques, this hybrid approach offers a new strategy to improve surgical accuracy, particularly where imaging and clinical examination are inconclusive. Our literature review found that open and laparoscopic repair of congenital lumbar hernias are both safe and feasible approaches, with the choice of either depending on the surgeon's preference and expertise.

Keywords: case report; congenital lumbar hernia; flank hernia; laparoscopic surgery; laparoscopy; lumbar hernia.

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Conflict of interest statement

Human subjects: Consent for treatment and open access publication was obtained or waived by all participants in this study. Townsville Hospital and Health Service Audit, Quality and Innovation Review (AQUIRE) issued approval THHSAudit 202403-574. This project meets the classification of non-research and has been approved for publication and presentation outside of Queensland Health by the Townsville Hospital and Health Service Audit, Quality and Innovation Review Panel. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

Figures

Figure 1
Figure 1. Ultrasound image of the left lumbar region, which demonstrates the hernia containing bowel.
Figure 2
Figure 2. Axial view of T2-weighted MRI image demonstrating the left lumbar hernia containing bowel.
Figure 3
Figure 3. Coronal view of T2-weighted MRI image demonstrating the left lumbar hernia containing bowel.
Figure 4
Figure 4. External appearance of the left lumbar hernia after establishing pneumoperitoneum.
Figure 5
Figure 5. Laparoscopic view of the empty hernia sac.
See this image and copyright information in PMC

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