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A case of laparoscopic repair of incisional hernia with incarceration of the stomach and parastomal hernia Takafumi OSHIRO 1 , Takashi URUSHIHARA 1 , Naoki KAGAWA 1 , Hideki NAKAHARA 1 , Yasuhiko FUKUDA 1 1Department of General Surgery, Hiroshima Prefectural Hospital Keyword: 腹腔鏡下ヘルニア修復術 , 腹壁瘢痕ヘルニア , 傍ストーマヘルニア pp.441-447
Published Date 2008/8/15
DOI https://doi.org/10.11477/mf.4426100219
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 A 73-year-old woman had undergone an abdominoperineal excision of the rectum with transverse colostomy for rectal carcinoma six years ago, and then she had undergone an end ascending colostomy for stomal dysfunction. She was admitted to our hospital because of abdominal pain, bulging and vomiting. A diagnosis of abdominal incisional hernia with incarceration of the stomach and parastomal hernia was made. After decompression of stomach content, we performed laparoscopic repair of the incisional hernia and concurrent parastomal hernia.

 Laparoscopic repair of an incisional hernia requires a careful decision regarding the first trocar site and technique of adhesiolysis, but it is advantageous for precise determination of hernia size. Furthermore, it is thought that laparoscopic repair of a parastomal hernia is superior to the open method.


Copyright © 2008, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

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電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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