Mesh法後の再発鼠径ヘルニアを腹腔鏡補助下前方アプローチで修復した１例

堤 裕史; 竹吉 泉; 富沢 直樹; 須納瀬 豊; 川手 進; 吉成 大介; 浜田 邦弘; 荒川 和久; 棚橋 美文; 新井 正明; 大矢 敏裕; 森下 靖雄

doi:10.2974/kmj.56.343

CASE REPORTS

Laparoscopy-assisted Hernioplasty for A Recurrent Inguinal Hernia after Mesh Repair : A Case Report

Hirofumi Tsutsumi, Izumi Takeyoshi, Naoki Tomizawa, Yutaka Sunose, Susumu Kawate, Daisuke Yoshinari, Kunihiro Hamada, Kazuhisa Arakawa, Yoshifumi Tanahashi, Masaaki Arai, Toshihiro Ohya, Yasuo Morishita

Author information

Hirofumi Tsutsumi
Department of Thoracic and Visceral Organ Surgery Gunma University, Graduate School of Medicine
Izumi Takeyoshi
Department of Thoracic and Visceral Organ Surgery Gunma University, Graduate School of Medicine
Naoki Tomizawa
Department of Thoracic and Visceral Organ Surgery Gunma University, Graduate School of Medicine
Yutaka Sunose
Department of Thoracic and Visceral Organ Surgery Gunma University, Graduate School of Medicine
Susumu Kawate
Department of Thoracic and Visceral Organ Surgery Gunma University, Graduate School of Medicine
Daisuke Yoshinari
Department of Thoracic and Visceral Organ Surgery Gunma University, Graduate School of Medicine
Kunihiro Hamada
Department of Thoracic and Visceral Organ Surgery Gunma University, Graduate School of Medicine
Kazuhisa Arakawa
Department of Thoracic and Visceral Organ Surgery Gunma University, Graduate School of Medicine
Yoshifumi Tanahashi
Department of Thoracic and Visceral Organ Surgery Gunma University, Graduate School of Medicine
Masaaki Arai
Department of Thoracic and Visceral Organ Surgery Gunma University, Graduate School of Medicine
Toshihiro Ohya
Department of Thoracic and Visceral Organ Surgery Gunma University, Graduate School of Medicine
Yasuo Morishita
Directer of Gunma University Hospital

Keywords: recurrent inguinal hernia, tension free repair, mesh plug, laparoscopy-assisted

JOURNAL FREE ACCESS

2006 Volume 56 Issue 4 Pages 343-346

DOI https://doi.org/10.2974/kmj.56.343

Details

Abstract

We successfully performed laparoscopy-assisted inguinal hernioplasty via an anterior approach under observing the hernia condition laparoscopically, for a case of recurrent inguinal hernia after mesh repair. We repaired the hernia by inserting another mesh plug into the hernia orifice without removing the placed mesh.
It was possible to recognize easily and accurately the hernia sac even for recurrent inguinal hernia after tension-free repair by using a laparoscope. Thus, we can perform a repair with a minimally invasive approach by inserting another mesh plug into the hernia orifice without performing unnecessary adhesiolysis in the inguinal canal. The patient has been no signs of recurrence 4 years after surgery.

Corresponding author

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