Lumber Incisional Hernia Lecture by Dr. R.K. Mishra
 
A lumbar incisional hernia is a type of hernia that occurs when abdominal contents protrude through a surgical incision in the lumbar region of the back. This type of hernia can occur after a variety of surgical procedures, including kidney surgery, spine surgery, or other procedures that involve making an incision in the back.
 
Lumbar incisional hernias are relatively rare, but they can cause significant pain and discomfort, as well as potential complications such as bowel obstruction or strangulation of the herniated tissue.
 
The treatment for lumbar incisional hernia typically involves surgical repair. However, because of the location of the hernia, repair can be challenging and may require a more complex approach than other types of hernia repair.
 
One approach to repairing a lumbar incisional hernia is to use a mesh implant to reinforce the weakened area of the abdominal wall. The mesh is typically placed inside the abdominal cavity and secured to the surrounding tissues using sutures or other fixation devices. This helps to prevent the hernia from recurring and reinforces the weakened abdominal wall.
 
Another approach to repairing a lumbar incisional hernia is to use a component separation technique, which involves separating the layers of the abdominal wall and creating additional space for the mesh implant. This technique can be more complex than mesh repair but can be effective in cases where the hernia is large or where previous attempts at mesh repair have failed.
 
In some cases, laparoscopic or robotic-assisted surgery may be used to repair lumbar incisional hernias. These minimally invasive techniques can offer several advantages over traditional open surgery, including smaller incisions, less pain, and faster recovery times.
 
Overall, the treatment of lumbar incisional hernia can be complex and may require a specialized approach. Patients should consult with a surgeon who has experience in treating this type of hernia to determine the best treatment plan for their individual case.