2024 Volume 39 Issue 2 Pages 39-44
Adult umbilical hernia is relatively rare in Japan; however, a shift toward Western dietary habits has led to an increase in the prevalence of this condition. A 51-year-old nulliparous woman with a history of endometrial cancer stage IA concomitant with umbilical hernia underwent laparoscopic hysterectomy and bilateral salpingo-oophorectomy accompanied by suture repair of the umbilical hernia. Intraoperatively, we created a deep longitudinal umbilical depression and performed umbilicoplasty using the novel “Kajikawa method.” No complications or recurrence have occurred 2 years postoperatively.
Umbilical hernias are treated using mesh placement or suture repair. Some studies have reported that recurrence rates associated with suture repair are significantly higher than those associated with mesh repair for umbilical hernia. Mesh repair is associated with lower recurrence rates than those associated with suture repair in patients with umbilical hernia defects > 4 cm in size.
We performed suture repair in our patient considering a history of uncontrollable diabetes and a small hernia defect. Suture repair is preferred in patients with malignant tumors and a small hernia defect because the next surgical approach becomes difficult.
Notably, the “Kajikawa method” of umbilical reconstruction results in a natural-looking umbilicus postoperatively.
