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Japanese

Single-incision laparoscopic-assisted intraperitoneal hernioplasty for Spiegelian hernia Hirohiko SATO 1 , Nobuhiro KURITA 1 , Takashi IWATA 1 , Kozo YOSHIKAWA 1 , Masakazu GOTO 1 , Mitsuo SHIMADA 1 1Department of Digestive Surgery and Transplantation, Tokushima University Hospital Keyword: Spiegelヘルニア , 腹腔鏡 , 単孔式 pp.347-351
Published Date 2012/6/15
DOI https://doi.org/10.11477/mf.4426100795
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 We report a patient with Spiegelian hernia which was restored by single incision laparoscopic repair. A 76-year-old male presented with egg size lump in the left lower abdomen. There was no history of local trauma or indication of intestinal obstruction. Physical examination revealed an elderly patient in satisfactory general health with no associated major systemic illness. Abdominal computed tomography revealed a defect to the outside edge of the left rectus muscle and a protrusion of adipose tissue under the external oblique aponeurosis. A diagnosis of Spiegelian hernia was made, and single incision laparoscopic repair with Dual Mesh® was performed. Under laparoscopic view, the defect of the fascia was 2cm in diameter and was located at the outer edge of the left rectus muscle. Dual Mesh® was patched covering the orifice laparoscopically. The length of hospital stay was 3 days. There were no intra- and post-operative complications, and there was no recurrence.


Copyright © 2012, 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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