Successful Laparoscopic Repair of a Rare Lumbar Hernia

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…

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Hernia Surgery on 23-Day-Old Infant: Dr. M. Saravana Balaji Leads Rare Procedure, Only Fourth Known Case Worldwide

Chennai, 6 September 2024: A 23-day-old premature baby, born at just 28 weeks, has successfully undergone a rare and complex surgery to treat Amyand’s hernia, a condition where a ruptured appendix is located in the groin. This marks only the fourth known case worldwide involving a preterm neonate.The infant developed an obstructed right inguinoscrotal swelling on the 23rd day after birth, prompting an emergency surgery. The procedure involved three key components: inguinal exploration to assess the groin area, appendectomy to remove the ruptured appendix, and herniotomy to repair the hernia by removing the hernia sac and fixing the abdominal wall defect.  Despite the delicate nature of the surgery, it was successfully completed within an hour, and the baby is now…

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Treating UTI In Children: When Does A Child Need To See A Pediatric Urologist?

Dr. Prabhu Karunakaran, consultant pediatric urologist at the Asian Institute of Nephrology and Urology, Hyderabad, emphasizes the importance of understanding urinary tract infections (UTIs) in both adults and children, as there are differences in risk factors and prevalence. In children, repeated UTIs require evaluation by a pediatric urologist since approximately 30 percent may have anatomical abnormalities, such as vesicoureteric reflux (VUR). UTIs are more prevalent in male infants, particularly those who are uncircumcised. However, after the first year, the risk shifts, with females becoming more susceptible due to anatomical factors, including their shorter urethra, which is closer to the anus and facilitates bacterial entry. Symptoms of UTIs vary by age; infants may show non-specific signs like fever, irritability, poor feeding,…

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