Robotic transabdominal preperitoneal repair of the left-sided secondary lumbar hernia.

Abstract: Lumbar hernias (LHs) are exceedingly rare, with definite management being surgery immediately upon diagnosis when the patient is medically fit. Herein, we report the case of a male patient in his mid-40s who presented with acquired left LH secondary to transabdominal percutaneous drainage of necrotic collection in a case of necrotising pancreatitis as a part of a step-up approach. He underwent robotic transabdominal preperitoneal repair using 15 cm × 12 cm polypropylene mesh. He was discharged on the second post-operative day. The patient returned to regular activity within 10 days, and at 2-month follow-up, he continued with routine daily activities. Robotic repair of the LH is feasible and safe with the advantage of having a three-dimensional high-definition vision, better ergonomics, intuitive motion, higher precision, tremor filtration and self-camera control.