タイトル(別表記) A Morgagni hernia repaired laparoscopically using Ventralight ST® mesh
著者 村上 敬祥 | 藤本 善三| 村嶋 信尚 | 仁科 拓也| 杉生 久実 | 松本 剛昌|
抄録 A 78-year-old Japanese woman was referred to our hospital because of fecal occult blood. Barium enema and CT colonography revealed the herniation of the transverse colon and the greater omentum into the right hemithorax through a retrosternal defect. We diagnosed a Morgagni hernia, and we performed a laparoscopic hernia repair with a three-port approach. The invaginated transverse colon and omentum were easily reduced into the abdominal cavity. The size of the hernial orifice was estimated to be approx. 2.5×4 cm. We placed Ventralight ST® mesh over the hernial orifice without hernial sac resection, and we used the double-crown technique to fix the mesh with a hernia stapler. The postoperative course was uneventful, and the patient was discharged on the 5th postoperative day with no complications. There has been no recurrence at 2 years after the surgery. Laparoscopic repair is a safe, less-invasive and useful method for repairing a Morgagni hernia.
キーワード Morgagni 孔ヘルニア (Morgagni hernia) 胸骨後ヘルニア (retrosternal hernia) 腹腔鏡下手術 (laparoscopic repair) Ventralight ST®
出版物タイトル 岡山医学会雑誌
発行日 2019-04-01
131巻
1号
開始ページ 35
終了ページ 39
ISSN 0030-1558
関連URL isVersionOf https://doi.org/10.4044/joma.131.35
言語 Japanese
著作権者 Copyright (c) 2019 岡山医学会
論文のバージョン publisher
DOI 10.4044/joma.131.35
NAID 130007642656