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A case of arcuate line hernia repaired by laparoscopic single incision intraperitoneal onlay mesh technique Reimi SUZUKI 1 , Yuji KONISHI 1 , Yosuke WAKUI 1 , Kazuhiro MINO 1 , Hideki KAWAMURA 1 1Department of General Surgery, National Hospital Organization Hokkaido Medical Center Keyword: 弓状線ヘルニア , 腹壁ヘルニア , 単孔式手術 pp.293-299
Published Date 2023/9/15
DOI https://doi.org/10.11477/mf.4426201081
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 Arcuate line hernia is a relatively rare condition in which a hernia sac protrudes from the caudal border of the posterior rectus sheath to the dorsal rectus abdominis muscle. We report a case in which an arcuate line hernia was suspected preoperatively and a single incision laparoscopic surgery was performed. A 75-year-old woman presented with anorexia and left-sided abdominal pain. Computed tomography revealed a small bowel protrusion between the rectus abdominis and the posterior rectus sheath from the left arcuate line.The arcuate line hernia was suspected, and surgery was planned. A 2 cm incision was made on the right side of the abdomen, and the operation was started through a single incision laparoscopy. A hernia sac was found in the posterior space of the rectus abdominis muscle in the cephalic direction from the left arcuate line. Tack fixation of 15x15 cm mesh was performed on the abdominal wall using the double crown technique and repaired with an intraperitoneal onlay mesh repair. Postoperatively, abdominal pain improved and the patient was discharged from the hospital 9 days later. No recurrence has occurred in 6 months of follow-up.


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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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