To explore the clinical effect of laparoscopic intraperitoneal onlay mesh for the treatment of acquired lumbar hernia, and to provide a relatively reasonable scheme for the treatment of acquired lumbar hernia.

47 patients with acquired lumbar hernia were treated by laparoscopic intraperitoneal onlay mesh in Beijing Hospital of Traditional Chinese Medicine Affiliated to Capital Medical University From January 2015 to June 2018. The clinical parameters before and after operation were recorded, and the complications and recurrence were observed and analyzed.

All 47 patients underwent laparoscopic surgery were successfully. The operation time ranged from 100 to 180 minutes, with an average of 134 minutes. Intraoperative bleeding volume ranged from 80 to 140 ml, with an average of 110 ml. Postoperative hospital stay ranged from 5 to 14 days, with an average of 7 days. Two cases occurred seroma after operation, which were cured by abdominal bandage after puncture and drainage; 4 cases of abdominal distension were alleviated within 5 days; 1 case of intestinal obstruction was cured within 13 days after operation; 10 cases of pain and discomfort in operation area were alleviated after painkillers treatment; 2 cases of puncture infection were cured after positive dressing change. No intestinal fistula, abdominal infection, trocar hematoma, trocar hernia and chronic pain occurred after operation. The follow-up period ranged from 6 to 48 months. No recurrence of hernia occurred.

Acquired lumbar hernia repair by laparoscopic intraperitoneal onlay mesh is an effective, safe and feasible treatment method, which can promote the rapid recovery of patients, reduce the incidence of complications and hernia recurrence. It is worthy of further clinical promotion.