Laparoscopic Reconstruction of Traumatic Lumbar Hernia: A Case Report

The traumatic lumbar hernia is an uncommon condition after blunt trauma. There are reported <100 cases in the English literature. Although open repair of traumatic lumbar hernia is a standard treatment, there is a possibility to use minimally invasive techniques in the laparoscopic era. We report the case of a 36-year-old male patient with a history of a blunt abdominal trauma. Seven months later, the patient was complaining of the enlarging mass and a chronic pain in a right lumbar area. A computed tomography scan revealed the traumatic lumbar hernia, with the hepatic flexure of the colon and a greater omentum inside the hernia sac. A laparoscopic intraperitoneal onlay method was chosen and the reconstruction with mesh was performed. The postoperative period was uneventful. The patient was discharged on the 3rd-day postoperatively. The laparoscopic approach can be safe and feasible for treating the traumatic lumbar hernia.