Laparoscopic surgery for interparietal hernia derived from inguinal hernia : a case report Kazunosuke YAMADA 1 , Shin-ichi IWANAGA 1 , Yasuhide FUCHINO 1 , Hiroe MAEDA 1 , Hiroki TANI 1 , Hiroshi JYOUZAKI 1 1Department of Surgery, Hakujyuji Hospital Keyword: interparietal hernia , 鼠径ヘルニア , 腹腔鏡 pp.779-783
Published Date 2014/11/15
DOI https://doi.org/10.11477/mf.4426200040
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An 80-year-old woman who had no surgical history presented with lower abdominal pain persisting for a day, and a mass that extended cranial medial of the left anterior superior iliac spine of the abdominal wall. Computed tomography(CT) scan revealed that the sigmoid colon was present between the internal and the external oblique muscle. After 5 days of admission, laparoscopic surgery was performed. Laparoscopic examination to identify the hernia orifice revealed that it was the deep inguinal ring and a hernia sac was observed passing through the deep inguinal ring. The hernia sac was extending cranially, and was extended between the external and the internal oblique muscle. Laparoscopic trans-abdominal preperitoneal mesh repair(TAPP) was performed successfully, and no postoperative complication occurred. There have been no previous reports of laparoscopic interparietal hernia repair. This may be the first report, and the strategy seems to be useful for accurate diagnosis and simultaneous treatment with minimal surgical invasiveness.

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