Retroperitoneal totally endoscopic prosthetic repair of primary lumbar hernia

摘要: A primary lumbar hernia is a rare entity that requires surgical management, but the preferred technique has not been established. We herein describe standardized and reproducible retroperitoneal totally endoscopic prosthetic (TEP) repair for hernias. Ten adult patients with hernias underwent TEP from February 2019 to July 2020. sufficient space was established accommodate non-coated polypropylene mesh reinforce weakened flank area, content reduction defect closure were then performed. The patients’ clinical data prospectively collected analyzed. Nine had superior one patient diffuse hernia. All operations successfully performed without serious intraoperative complications. mean area 6.4 ± 2.8 cm2 (range 4–12 cm2), 144.6 cm2 130–180 cm2). average operative time (skin skin) 49.0 ± 5.7 min 40–60 min), bleeding minimal. visual analog pain scale score at rest on first postoperative day 2.2 2–3). length of stay 1.5 days 1–2 days). No complications occurred. recurrence, chronic pain, or infection occurred during follow-up period 7.5 months. safe, efficient, reproducible. Anti-adhesive coated meshes fixation tackers are required, making this cost-effective procedure worthy recommendation.