Laparoscopic surgery for lumbar hernia in children.

Objective: To explore the safety, feasibility, and superiority of laparoscopic surgery in the treatment of lumbar hernia in children.

Methods: Retrospective analysis of children with lumbar hernia who underwent surgical treatment at our hospital from March 2010 to March 2024.

Inclusion criteria: (1) Definite diagnosis of lumbar hernia: symptoms of lumbar hernia, ultrasound or CT diagnosis of lumbar hernia; (2) Clear surgical indication: the child patient with lumbar hernia has shown no significant improvement for over a year; (3) Complete intraoperative and postoperative follow-up data; (4) No contraindications for surgery.

Results: 17 children with lumbar hernia were included in this study, and all the 17 cases were successfully performed laparoscopic surgery. No major intraoperative bleeding, intraoperative or postoperative blood transfusion, accidental injury, or perioperative mortality occurred during the surgery. The average surgical duration was 60.17 min, and an average hospital stay of 3 days. All pediatric patients were followed up for more than one year, and no serious complications were observed.

Conclusion: Laparoscopic surgery is a safe and reliable method for the treatment of lumbar hernia in children. It has the advantages of minimal trauma, rapid recovery, and satisfactory cosmetic effect. It is worthy of clinical promotion.