A case of one-stage laparoscopic repair for inguinal, femoral and incarcerated obturator hernias using transabdominal preperitoneal approach Takanori MEI 1 , Daisuke YAMADA 1 , Yutaka YAMADA 1 , Kousuke YANAI 1 , Masahiko KAWAMOTO 1 , Shuyou UMEDA 1 1Department of Surgery, Japan Community Health care Organization, Kyushu Hospital Keyword: 閉鎖孔ヘルニア , 鼠径部ヘルニア , 腹腔鏡下ヘルニア修復術 pp.353-357
Published Date 2018/5/15
DOI https://doi.org/10.11477/mf.4426200560
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A 88-year-old female, presented with a right inguinal bulge, and was initially diagnosed with inguinal hernia. At the same time, the patient had urinary symptoms such as sensation of residual urine and pollakisuria. On further work-up, computed tomography showed right incarcerated obturator hernia of the urinary bladder. The patient underwent laparoscopic hernia repair using transabdominal preperitoneal approach (TAPP). Intraoperatively, a femoral hernia was also identified. Hernia repair using mesh application was used for the surgery, which covered the 3 defects. Patient recovery was unremarkable. TAPP was safe and feasible for repairing three hernias, simultaneously.

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