Laparoscopic surgery for patients with rare lumbar incisional hernia

(Dan Tri) - One day after surgery at Vinmec Ha Long General Hospital, the patient with a rare lumbar incisional hernia recovered and was discharged from the hospital.

Mr. K. (68 years old, Quang Ninh ), came to Vinmec Ha Long General Hospital for examination because of a large bulge in the right lumbar region. Many years ago, he had 2 surgeries to remove an adrenal tumor. Since then, the bulge at the surgical site gradually grew larger, causing pain when he walked and coughed, seriously affecting his life.

From the results of clinical examination and imaging diagnosis, doctors at Vinmec Ha Long determined that he had a right rib incisional hernia - a rare type of abdominal wall hernia. In the hernia, the large intestine passed through the abdominal wall opening under the skin. At the same time, the patient also had many underlying diseases, including gallstones, gastritis - colitis, HP positive, increasing the risk of infection and complications during and after surgery.

Assessing this as a complicated case, the first time receiving it at Vinmec Ha Long, Associate Professor, Doctor, II Pham Viet Hung - Director of the Digestive Center, chose endoscopic surgery to treat the patient.

Associate Professor, Dr. Pham Viet Hung and his team during the surgery (Photo: CC Hospital).

“Hernia at the old surgical site is always a complicated case. In particular, hernia in the right rib area is a rare disease and difficult to access. At the time of admission, the patient had a large hernia, had undergone two surgeries, but we still decided to perform laparoscopic surgery.

The advantages of this method are significant pain relief, reduced intestinal adhesions, reduced infection and shorter hospital stay compared to traditional open surgery. The method is especially useful for elderly patients or those with many comorbidities,” said Dr. Hung.

The surgery was performed in 60 minutes, the patient lay on his side and underwent laparoscopic surgery through the abdomen. The medical team removed adhesions to remove the colon from the hernia, sutured the opening and placed a mesh to firmly reconstruct the muscle structure, preventing recurrence. The surgery was successful, minimally invasive, minimizing bleeding and post-operative pain. Immediately after the intervention, the patient was awake, able to do light exercise and was discharged after 1 day.

Associate Professor, Doctor Pham Viet Hung is one of the leading experts in Quang Ninh with more than 20 years of experience (Photo: BVCC).

Directly performing the surgery was Associate Professor, Doctor, and Doctor Pham Viet Hung - one of the leading experts in digestive surgery - oncology and cardiovascular surgery - thoracic surgery in Quang Ninh, with more than 20 years of experience. Currently, Dr. Hung is also a member of the executive committee of the Vietnam Hernia Association. He has participated in teaching and performing many complex endoscopic hernia techniques to help many patients receive effective treatment locally.

Not only possessing a team of experienced doctors, Vinmec Ha Long is also equipped with a modern, synchronous medical equipment system including high-tech endoscopes, advanced CT - MRI systems, sterile Hybrid operating rooms... This is an important foundation to help doctors accurately assess injuries and perform safe and effective surgery. At the same time, the hospital focuses on implementing a multidisciplinary treatment model - experts in many fields consult and coordinate in each case to build the most optimal treatment regimen.

The success of the case not only affirms the solid professional level and the ability to flexibly handle complex cases, but also demonstrates the dedication of the medical team at Vinmec Ha Long - where patients have access to safe, effective and modern treatment methods.

To get consultation and examination with Associate Professor, Doctor Pham Viet Hung, please contact to make an appointment through the Vinmec website here or download the MyVinmec application.

Source: https://dantri.com.vn/suc-khoe/phau-thuat-noi-soi-cho-benh-nhan-bi-thoat-vi-vet-mo-vung-that-lung-hiem-gap-20251112102616364.htm