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Japanese

A case of laparoscopic repair for rectus abdominis muscle dissection Yutaka NAKAGAWA 1 , Shinichiro ISHINO 1 , Tatsuya KINJO 1 , Hiroyuki KARIMATA 1 , Hideaki SHIMOJI 1 , Mitsutoshi TAKATSUKI 1 1Department of Surgery I, University of the Ryukyus Hospital Keyword: 妊娠出産 , 腹直筋離開 , 腹腔鏡手術 pp.20-24
Published Date 2021/1/15
DOI https://doi.org/10.11477/mf.4426200867
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 A 38-year-old woman underwent laparoscopic cholecystectomy for cholecystitis at 37 years of age. She had a history of three cesarean deliveries. She developed upper abdominal pain and swelling a week after the last cesarean delivery and presented to our department for suspected abdominal wall scar hernia. The distance between the rectus abdominis muscles on computed tomography was 40.7 mm at the umbilicus. Although we suspected diastasis recti, we performed surgery because the patient complained of pain, and an abdominal wall incisional hernia could not be ruled out. We performed laparoscopic intraperitoneal onlay mesh (IPOM) repair with fascial closure (IPOM-plus). She developed pain postoperatively; however, she could be discharged on the 5th postoperative day. Despite persistent abdominal distention, we could improve the shape of the body to some extent using a minimally invasive procedure similar to IPOM-plus.


Copyright © 2021, 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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