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ID 53257
Sort Key
7
Title Alternative
Laparoscopic repair of an abdominal incisional hernia above the pubis
FullText URL
Thumnail 127_31.pdf 1.37 MB
Author
Nakano, Kanyu
Idani, Hitoshi
Asami, Shinya
Ookawa, Hiro
Yoshimoto, Masashi
Ito, Atene
Monden, Kazuteru
Kurose, Yohei
Hioki, Masayoshi
Ishii, Tatsuhiro
Sadamori, Hiroshi
Oono, Satoshi
Kin, Hitoshi
Takakura, Norihisa
Abstract
  Laparoscopic repair of a suprapubic hernia typically carries a high risk of recurrence, because fixation of the mesh in the peripubic area is difficult. We herein report a patient undergoing laparoscopic repair of a suprapubic hernia, along with a description of the surgical techniques employed.  A 78-year-old woman visited our hospital with a chief complaint of swelling at the median hypogastric incision site after surgery for an ovarian cyst performed at age 25 years. Laparoscopic examination revealed the hernia orifice to be 3.5×3.0 cm in size and that the distance between the caudal margin of the hernia orifice and the pubis was 2.5 cm. Parietex composite mesh was used for fixation through all layers of the abdominal wall with non-absorbable sutures and tack fixation. On the pubic side, after the pubis had been exposed by separating it from the bladder, we performed mesh fixation through all layers of the abdominal wall immediately above the pubis with the sutures placed inside the mesh, combined with tack mesh fixation directly to the pubis. This procedure enabled definite fixation of the mesh. Six days after surgery, she was discharged without complications. To date, two years and five months after surgery, no recurrence has been observed.
Keywords
腹壁瘢痕ヘルニア(incisional hernia)
恥骨上ヘルニア(suprapubic hernia)
腹腔鏡下修復術(laparoscopic repair)
Note
症例報告 (Case Reports)
Publication Title
岡山医学会雑誌
Published Date
2015-04-01
Volume
volume127
Issue
issue1
Publisher
岡山医学会
Publisher Alternative
Okayama Medical Association
Start Page
31
End Page
34
ISSN
0030-1558
NCID
AN00032489
Content Type
Journal Article
Related Url
http://www.okayama-u.ac.jp/user/oma/
OAI-PMH Set
岡山大学
language
日本語
Copyright Holders
Copyright (c) 2015 岡山医学会
File Version
publisher
Refereed
True
DOI
NAID
Eprints Journal Name
joma