第2巻 2006年6月　第3号

■症例報告

鏡視下に治療した巨大腹壁瘢痕ヘルニアの1例
栗原　雄司¹, 山川　達郎¹, 小峯　修², 千原　直人², 坊　英樹², 塩谷　猛², 渡辺　昌則², 田尻　孝^3
1京浜総合病院外科
²日本医科大学武蔵小杉病院消化器病センター
³日本医科大学大学院医学研究科臓器病態制御外科学

A Large Abdominal Incisional Hernia Treated with Laparoscopic Surgery
Yuuji Kurihara¹, Taturou Yamakawa¹, Osamu Komine², Naoto Chihara², Hideki Bou², Takeshi Shioya², Masanori Watanabe² and Takashi Tajiri^3
1Department of Surgery, Keihin General Hospital
²Institute of Gastroenterology, Musashikosugi Hospital, Nippon Medical School
³Surgery for Organ Function and Biological Regulation, Nippon Medical School Graduate School of Medicine

We present a case of abdominal incisional hernia that was successfully treated with laparascopic surgery. An 81-year-old woman presented with symptoms of abdominal pain and discomfort. In the past history, she had distal gastrectomy for gastric carcinoma in 1995 and total gastrectomy for the remnant of gastric carcinoma combined with a cholecystectomy in 2003. Subsequently, she developed a swelling in the abdominal region. She had consulted a local hospital and surgery was suggested, but she rejected. Finally, she visited Keihin General Hospital with the hope for a treatment by endoscopic surgery. On medical examination, longitudinal and horizontal surgical scars were observed on the upper abdominal region and an incisional hernia measuring 14×15 cm in diameters was found. Laparoscopic repair operation was performed under general anesthesia using a 19.6×24.6 cm Bard Composix Kugel Patch (Bard, Inc.), inserting through three ports of about 11 mm in diameter in the lower abdomen. At present, the patient is under follow up with no pain or recurrence. In conclusion, we report a better prognosis of a case with huge incisional hernia under laparoscopic repair operation.

日医大医会誌 2006; 2(3), 161-163

Correspondence to
Yuuji Kurihara, Department of Surgery, Keihin General Hospital, 1-2-5 Sinjyo, Nakahara-ku, Kawasaki-shi, Kanagawa 211-0044, Japan
E-mail：kuri-0708@s4.dion.ne.jp

受付：2006年3月8日　受理：2006年3月28日