2019 年 27 巻 2 号 p. 87-89
We experienced a case of simultaneous operation of SILS (single-incision laparoscopic surgery) colectomy using fascia defect and the primary suture repair for incisional hernia. An 89 year old male patient was visited our hospital for the purpose of surgery for the incisional hernia. Before surgery, he was diagnosed as suspiciously cecum cancer. SILS using the fascia defect was performed for simultaneous hernia repair by the primary suture repair to avoid a mesh infection. For the repair of the hernia, the primary suture was performed using the delayed absorbable monofilament suture. Postoperative course was uneventful, then he discharged on 9th day after surgery. More than 3 years passed after surgery, no symptom of recurrence of cancer and hernia was observed by the clinical and imaging findings. It might be possible and important to obtain a satisfied treatment by selecting the most appropriate surgical procedure for each individual.
