2024-03-29T08:57:03Z
https://niigata-u.repo.nii.ac.jp/oai
oai:niigata-u.repo.nii.ac.jp:00008819
2022-12-15T03:43:06Z
453:456
471:537:538:918
A Case of Endoscopy-Assisted Herniorrhaphy via Subcutaneous Approach For the Superior Lumber Hernia
鏡視下皮下アプローチ法による修復術を行った上腰ヘルニアの1例
鏡視下皮下アプローチ法による修復術を行った上腰ヘルニアの1例
大日向, 玲紀
61389
矢島, 和人
61390
岩崎, 善毅
61391
石山, 哲
61392
ゆう, 賢
61393
endoscopy
superior lumbar hernia
herniorrhaphy
subcutaneous approach
We herein report a case of endoscopy-assisted herniorrhaphy performed via a subcutaneous approach for the treatment of a superior lumbar hernia. A 72-year-old man presented to our hospital for evaluation of a soft mass and pain in the right lateral abdomen. Physical examination revealed a soft, smooth-surfaced mass with a diameter of 8 cm. The mass disappeared when the patient was in the lateral supine position. A computed tomographic examination was performed under a tentative diagnosis of an external hernia. Computed tomography revealed an absence of the abdominal wall and the presence of prolapsed retroperitoneal fat under the 12th rib; these findings were compatible with a superior lumbar hernia. Endoscopy-assisted herniorrhaphy was performed via a subcutaneous approach. Dissection of the subcutaneous tissue, confirmation of the hernia orifice, and taxis of the hernia sac were carried out under endoscopy. Repair was performed using a Bard(R) Light PerFixTM Plug (Davol, Inc., a subsidiary of C.R. Bard, Inc., Warwick, RI, USA) with a 4-cm skin incision. The postoperative course was uneventful, and the patient was discharged on postoperative day 3. This technique was safely used for the repair of a superior lumbar hernia.
departmental bulletin paper
新潟医学会
2014-10
application/pdf
新潟医学会雑誌
10
128
537
542
新潟医学会雑誌
AN00182415
00290440
https://niigata-u.repo.nii.ac.jp/record/8819/files/128(10)_537-542.pdf
jpn