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.

Lumbar hernias are among the rarest types of abdominal hernias, accounting for less than 2% of cases. Grynfeltt-Lesshaft hernias are an even rarer subtype. Due to their location and mild symptoms, they can be difficult to diagnose. However, laparoscopic TAPP mesh repair, as demonstrated in this case by Dr. Satish Kumar Raju. S, is a highly effective, minimally invasive treatment option for such conditions. Early diagnosis and timely surgical intervention are essential for achieving the best results in rare and complex hernias like this one.