タイトル(別表記) Laparoscopic repair of an abdominal incisional hernia above the pubis
フルテキストURL 127_31.pdf
著者 中野 敢友| 井谷 史嗣| 淺海 信也| 大川 広| 吉本 匡志| 伊藤 雅典| 門田 一晃| 黒瀬 洋平| 日置 勝義| 石井 龍宏| 貞森 裕| 大野 聡| 金 仁洙| 高倉 範尚|
抄録   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.
キーワード 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)
出版物タイトル 岡山医学会雑誌
発行日 2015-04-01
127巻
1号
開始ページ 31
終了ページ 34
ISSN 0030-1558
関連URL http://www.okayama-u.ac.jp/user/oma/
言語 Japanese
著作権者 Copyright (c) 2015 岡山医学会
論文のバージョン publisher
DOI 10.4044/joma.127.31
NAID 130005068354
著者 遠藤 芳克| 酒井 亮| 大内 正明| 鬼松 秀樹| 日置 勝義| 香川 俊輔| 宇野 太| 渡邉 雄一| 浦田 泰生| 田中 紀章| 藤原 俊義|
発行日 2008-12-01
出版物タイトル 岡山医学会雑誌
120巻
3号
資料タイプ 学術雑誌論文