Sutureless Meshplasty in Lumbar Hernia

Abstract

Sutureless tension-free meshplasty of these rare hernias can be successfully performed with the posterior approach. This method of repair is easy, safe, and effective.

Sublay repair for primary superior lumbar hernia with the Kugel patch

“…As a brief conclusion, the Kugel patch is an ideal material for the sublay repair technique, which requires a sutureless fixation and provides sufficient intensity to strengthen the abdominal wall for superior lumbar hernia. Many surgeons doubted whether the mesh was securely fixed by mere intra‐abdominal pressure and adapted sutures, tackers or bone anchor fixation for lumbar hernia . Whereas, no chronic pain or displacement of the Kugel patch, as confirmed by ultrasonography, occurred during the follow‐up period, indicating the safety of the technique.…”

Petit Lumbar Hernia—a Double-Layer Technique for Tension-Free Repair

“…Some authors argue that the intraabdominal pressure alone is enough to hold the mesh in place. 10,11 In this case, transfixing stitches were used in order to ensure the positioning of the mesh and also to open it in the appropriate space. The use of several stitches can increase postoperative pain, 12 so few well-spaced stitches should be made, transfixing the firm tissues, but with knots without tension in order to avoid entrapment of the nerves.…”

Bleichner’s hernia – lumbar hernia

“…In an anatomical study, Stumpf defined the anatomy and recommended a retromuscular sublay repair as the standard [15]. The efficacy of this approach was further emphasized in the sutureless “Meshplasty” as described in Garg et al [16] and Gagner et al [17] both of whom described a laparoscopic preperitoneal approach. A variation of this technique was reported by Shekarriz et al [18] and Sharma et al [19] as a transperitoneal preperitoneal laparoscopic approach which also utilized mesh.…”