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◆要旨:患者は41歳,男性.交通事故で当院へ救急搬送され,右側腹部打撲を認めた.その後徐々に打撲部位に膨隆を認め,CTで同部位に腹壁ヘルニアを認めたため,受傷後約11か月目に手術治療を行った.手術は腹腔鏡下にて腹腔内よりヘルニア門を同定するtransabdominal preperitoneal approach(TAPP法)で行い,形状記憶リングを有したメッシュを用いて修復した.第3病日に経過良好で退院となり,現在再発は認めていない.外傷性腹壁ヘルニアに対する腹腔鏡下手術の報告例は少なく,今回筆者らは腹腔鏡下腹壁ヘルニア修復術を施行し,安全かつ有用であった1例を経験したので報告する.
A 41-year-old man had been involved in a traffic accident. Emergency survey was carried out, and he went home as right abdominal quadrant contusion at the first medical examination. Several months later, he noticed a bulge in his right flank, and it was diagnosed as a traumatic wall hernia by a computed tomography. A laparoscopic TAPP repair was performed for this hernia. We used BARD VENTRIO meshTM. This repair was done 11 months after the traffic accident. The postoperative course was uneventful, and the patient was discharged from our hospital on the post-operative day 3. There have been no signs of recurrence. Thus, a laparoscopic repair was useful for the treatment of a traumatic wall hernia.
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