Laparoscopic Repair of Left-Sided Upper Lumbar Hernia by Dr. Satish Kumar Raju

Laparoscopic Repair of Rare Left-Sided Primary Upper Lumbar Hernia by Dr. Satish Kumar Raju. S

A 31-year-old man successfully underwent laparoscopic Transabdominal Preperitoneal (TAPP) mesh repair for a rare left-sided primary upper lumbar hernia, known as Grynfeltt-Lesshaft hernia. This condition is extremely uncommon, with fewer than 300 cases reported worldwide.

The patient reported intermittent swelling in the left superior lumbar region over the past year, which became more noticeable during coughing and reduced spontaneously. DR.SATISH KUMAR RAJU.S, Consultant General & Laparoscopic Bariatric surgeon at SLG HOSPITALS, Bachupally, Hyderabad, who examined the patient, found a lump in the upper left lumbar area that became more prominent during coughing. Imaging tests confirmed it was a Grynfeltt-Lesshaft hernia. To treat this, Dr. Raju and his team performed a minimally invasive surgery called Transabdominal Preperitoneal (TAPP) mesh repair. They used a 15×15 cm synthetic mesh to strengthen the affected area. The procedure went smoothly without any complications. The patient recovered well and was discharged just 24 hours after the surgery. Follow-up checkups showed no recurrence of the hernia, indicating a successful outcome.

Expert Comments

Dr.Raj, MBBS, DNB (General Surgery), FIAGES, Pondicherry

The Grynfeltt-Lesshaft hernia represents a rare but important example of how modern laparoscopic techniques can successfully manage even the most uncommon abdominal hernias. Dr. Satish Kumar Raju's decision to opt for a minimally invasive laparoscopic approach, specifically the Transabdominal Preperitoneal (TAPP) mesh repair, is commendable. One of the most critical aspects of this case is the early diagnosis and timely intervention. In rare hernias like the Grynfeltt-Lesshaft type, delaying surgery can lead to complications such as incarceration or strangulation. Overall, this case highlights the benefits of modern diagnostic imaging, laparoscopic techniques, and early surgical management in the treatment of rare hernias. It also underscores the importance of skilled and experienced surgeons like Dr. Raju, who are well-versed in both the recognition of uncommon hernias and the use of advanced minimally invasive techniques for optimal patient outcomes.