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Laparoscopic repair of abdominal incisional hernia in a lumbar intercostal oblique incision : A case report Kan TANABE 1,2 , Sumiya ISHIGAMI 1 , Kota MINAMIMAGARI 1 , Koichi MEGUMI 1 , Saburo NAKASHIMA 1 , Shoji NATSUGOE 2 1Department of Surgery, Oshima Hospital 2Department of Digestive Surgery, Breast and Thyroid Surgery, Kagoshima University Graduate School of Medical and Dental Sciences Keyword: 肋間 , 腹壁瘢痕ヘルニア , 腹腔鏡 pp.683-687
Published Date 2018/9/15
DOI https://doi.org/10.11477/mf.4426200610
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 A woman in her eighties consulted us, complaining of swollen left abdomen. Three years prior, she had undergone left partial nephrectomy through intercostal oblique incision for renal cell carcinoma. The diagnosis was abdominal incisional hernia. She underwent laparoscopic incisional hernia repair. Observation of the abdominal cavity in the right lateral position revealed the hernia orifice, with a diameter of 4 × 8 cm in the tenth intercostal space. A mesh measuring 10 × 15 cm was placed above the hernia orifice and was fixed via transabdominal suture and tacking. Care was taken to avoid the rib and its lower edge. Three months later, laparoscopic femoral hernia repair was performed and during the procedure, neither mesh deviation nor diastasis was confirmed. We consider laparoscopic repair of abdominal incisional hernia via a lumbar intercostal oblique incision, as described above, is safe and feasible.


Copyright © 2018, 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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