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Japanese

A case of Spigelian hernia in which laparoscopic repair was useful Tatsuya TAZAKI 1 , Masaru SASAKI 1 , Mohei KOHYAMA 1 , Akihiko OSHITA 1 , Yoichi SUGIYAMA 1 , Atsushi NAKAMITSU 1 1Department of Surgery, JA Hiroshima General Hospital Keyword: スピーゲルヘルニア , 腹腔鏡 , メッシュ pp.507-511
Published Date 2015/9/15
DOI https://doi.org/10.11477/mf.4426200171
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The patient was a 73-year-old man who had sometimes experienced right lower quadrant pain since approximately two years prior. Thus, he underwent abdominal CT examination. There was a prolapsed intestine at the lateral border of the right rectus abdominal muscle, and the patient was diagnosed with Spigelian hernia. There was no distension, it was difficult to palpate the hernial orifice from the body surface, and the patient had no history of laparotomy. Therefore, laparoscopic repair was selected as the surgical procedure. A hernial orifice was observed with a diameter of approximately 2cm at the Spigel aponeurosis of the outer border of the right rectus abdominal muscle. The repair was performed using a 9-cm, round Parietex composite (PCO) mesh. Laparoscopic repair is well indicated for Spigelian hernia because it can provide an accurate intraoperative determination of hernia orifice. This procedure was particularly useful in our case in which identification of hernial orifice was difficult from the body surface.


Copyright © 2015, 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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