Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
Online ISSN : 1882-5133
Print ISSN : 1345-2843
ISSN-L : 1345-2843
Case Reports
A Case of Linea Alba Hernia Treated by Single-incision Totally Extraperitoneal (TEP) Approach
Taketoshi YAMANOTeruki KOBAYASHIDaisuke MIMURAAkito YAMANOHaruto NISHIMURATakatoshi YAMADA
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2016 Volume 77 Issue 12 Pages 3030-3033

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Abstract

Linea alba hernia is an abdominal hernia in which preperitoneal adipose tissue or intraabdominal organ has prolapsed from a split of aponeurosis of abdominal rectus muscle. We report a case of linea alba hernia in which prolapsing preperitoneal adipose tissue could be restored by preperitoneal approach following single-incision totally extraperitoneal (TEP) approach. A 46-year-old man was diagnosed as having linea alba hernia by CT enforced by the examination of an epigastric subcutaneous mass. During an operation, hernia orifice was not observed as a view from the abdominal cavity, but it was observed as a prolapse of preperitoneal adipose tissue from the linea alba in exfoliated extraperitoneal-space. We enforced reinforcement by the mesh after entire detachment of the contents. This is the first reported case treated by single-incision laparoscopic surgery against the adult linea alba hernia in Japan, then we report the details including consideration from the literature.

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© 2016 Japan Surgical Association
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