Journal of Okayama Medical Association
Published by Okayama Medical Association

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腸骨広範囲切除術後に発生した腹壁瘢痕ヘルニアに対しメッシュ修復術を行った一例

Tsukuda, Kazunori Minimally Invasive Therapy Center, Okayama University Hospital
Asano, Hiroaki Minimally Invasive Therapy Center, Okayama University Hospital
Mandai, Yasuhiro Center of the Development and Health Care Education, Okayama University
Fujiwara, Toshiyoshi Department of Gastrointestinal Sugery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences ORCID Kakenhi
Thumnail 128_117.pdf 5.42 MB
Abstract
 The patient was a 46-year old Japanese female who had undergone wide excision of the iliac bone and hip transposition at our institute's orthopedics department 2 years earlier. She presented with a growing incisional hernia and was transferred to our gastroenterological surgery department for surgical treatment. We planned a mesh repair for the incisional hernia, which protruded over the right iliac bone. The dimensions of the abdominal defect were 15×9 cm, and we used prolene mesh to repair the defect. The mesh was fixed at the inner part of the iliac bone, folded back at the iliac horn and fixed to the abdominal oblique muscles. The postoperative course was smooth, and recurrence was not seen at 3.5 years after the operation. An incisional hernia as seen in this patient's case is very rare, but we found that the underlay technique and prolene mesh were very useful for the three-dimensional hernia repair.
Keywords
腹壁瘢痕ヘルニア(incisional hernia)
腸骨軟骨肉腫(chondrosarcoma of the iliac bone)
腸骨広範囲切除術(wide excision of the iliac bone)
プロリーンメッシュ(prolene mesh)
Note
症例報告(Case Reports)
ISSN
0030-1558
NCID
AN00032489
DOI
NAID