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)
備考 症例報告 (Case Reports)
出版物タイトル 岡山医学会雑誌
発行日 2015-04-01
127巻
1号
出版者 岡山医学会
出版者(別表記) Okayama Medical Association
開始ページ 31
終了ページ 34
ISSN 0030-1558
NCID AN00032489
資料タイプ 学術雑誌論文
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
査読 有り
DOI 10.4044/joma.127.31
NAID 130005068354
Sort Key 7
Eprints Journal Name joma
参考文献 1) LeBlanc KA, Booth WV : Laparoscopic repair of incisional abdominal hernias using expanded polytetrafluoroethylene : preliminary findings. Surg Laparosc Endosc (1993) 3, 39-41. 2) Misra MC, Bansal VK, Kulkarni MP, Pawar DK : Comparison of laparoscopic and open repair of incisional and primary ventral hernia : results of a prospective randomized study. Surg Endosc (2006) 20, 1839-1845. 3) Barbaros U, Asoglu O, Seven R, Erbil Y, Dinccag A, Deveci U, Ozarmagan S, Mercan S : The comparison of laparoscopic and open ventral hernia repairs : a prospective randomized study. Hernia (2007) 11, 51-56. 4) Forbes SS, Eskicioglu C, McLeod RS, Okrainec A : Meta-analysis of randomized controlled trials comparing open and laparoscopic ventral and incisional hernia repair with mesh. Br J Surg (2009) 96, 851-858. 5) Sajid MS, Bokhari SA, Mallick AS, Cheek E, Baig MK : Laparoscopic versus open repair of incisional/ventral hernia : a meta-analysis. Am J Surg (2009) 197, 64-72. 6) LeBlanc KA, Whitaker JM, Bellanger DE, Rhynes VK : Laparoscopic incisional and ventral hernioplasty : lessons learned from 200 patients. Hernia (2003) 7, 118-124. 7) Heniford BT, Park A, Ramshaw BJ, Voeller G : Laparoscopic repair of ventral hernias : nine year's experience with 850 consecutive hernias. Ann Surg (2003) 238, 391-399. 8) Sharma A, Mehrotra M, Khullar R, Soni V, Baijal M, Chowbey PK : Laparoscopic ventral/incisional hernia repair : a single centre experience of 1,242 patients over a period of 13 years. Hernia (2011) 15, 131-139. 9) Morales-Conde S : Laparoscopic ventral hernia repair : advances and limitations. Semin Laparosc Surg (2004) 11, 191-200. 10) 井谷史嗣 : 腹壁瘢痕ヘルニアに対する腹腔鏡下手術. 腹腔鏡下手術 これは困ったぞ, どうしよう, 加納宣康編, 中外医学社, 東京(2004)pp152-158. 11) 井谷史嗣, 吉鷹知也, 石井辰明, 宇田憲司, 室 雅彦, 金 仁洙 : 腹壁ヘルニアに対するコンポジックスE/Xメッシュを用いた腹腔鏡下ヘルニア修復術. 外科(2003)57, 995-999. 12) LeBlanc KA : Current considerations in laparoscopic incisional and ventral herniorrhaphy. JSLS (2000) 4, 131-139. 13) Chelala E, Debardemaeker Y, Elias B, Charara F, Dessily M, Allé JL : Eighty-five redo surgeries after 733 laparoscopic treatments for ventral and incisional hernia : adhesion and recurrence analysis. Hernia (2010) 14, 123-129. 14) Matuszewski M, Stanek A, Maruszak H, Krajka K : Laparoscopic treatment of parapubic postprostatectomy hernia. Eur Urol (1999) 36, 418-420. 15) Carbonell AM, Kercher KW, Matthews BD, Sing RF, Cobb WS, Heniford BT : The laparoscopic repair of suprapubic ventral hernias. Surg Endosc (2005) 19, 174-177. 16) Ferrari GC, Miranda A, Sansonna F, Magistro C, Di Lernia S, Maggioni D, Franzetti M, Costanzi A, Pugliese R : Laparoscopic repair of incisional hernias located on the abdominal borders : a retrospective critical review. Surg Laparosc Endosc Percutan Tech (2009) 19, 348-352. 17) Hirasa T, Pickleman J, Shayani V : Laparoscopic repair of parapubic hernia. Arch Surg (2001) 136, 1314-1317. 18) Palanivelu C, Rangarajan M, Parthasarathi R, Madankumar MV, Senthilkumar K : Laparoscopic repair of suprapubic incisional hernias : suturing and intraperitoneal composite mesh onlay. A retrospective study. Hernia (2008) 12, 251-256. 19) Sharma A, Dey A, Khullar R, Soni V, Baijal M, Chowbey PK : Laparoscopic repair of suprapubic hernias : transabdominal partial extraperitoneal (TAPE) technique. Surg Endosc (2011) 25, 2147-2152. 20) Varnell B, Bachman S, Quick J, Vitamvas M, Ramshaw B, Oleynikov D : Morbidity associated with laparoscopic repair of suprapubic hernias. Am J Surg (2008) 196, 983-987. 21) Yee JA, Harold KL, Cobb WS, Carbonell AM : Bone anchor mesh fixation for complex laparoscopic ventral hernia repair. Surg Innov (2008) 15, 292-296. 22) McKay R, Haupt D : Laparoscopic repair of low abdominal wall hernias by tack fixation to the cooper ligament. Surg Laparosc Endosc Percutan Tech (2006) 16, 86-90. 23) Baccari P, Nifosi J, Ghirardelli L, Staudacher C : Laparoscopic incisional and ventral hernia repair without sutures : a single-center experience with 200 cases. J Laparoendosc Adv Surg Tech A (2009) 19, 175-179. 24) Feliu X, Claveria R, Besora P, Luque D, Viñas X : A calcified foreign body in the bladder due to a displaced tack : an unusual complication after laparoscopic incisional hernia repair. Surg Laparosc Endosc Percutan Tech (2011) 21, 28-30.