Single incision laparoscopic surgery repair of a linea alba hernia

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  • 白線ヘルニアに対する単孔式ヘルニア修復術を施行した１例

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A 55-year-old female presented with a subcutaneous mass in the upper midline. Computed tomography scan showed adipose tissue and the falciform ligament in the upper abdominal midline suggesting a linea alba hernia. Surgical repair was undertaken for progressive symptoms using single-incision laparoscopic surgery（ SILS）. A 2.5cm incision was made at the umbilicus and EZ access TM（ HAKKO, Tokyo） placed.Two 5mm ports were inserted and a wrap protector attached. We inserted a 2mm port and forceps to assist. Adipose tissue and the round ligament of the liver were incarcerated in the abdominal wall hernia.They were reduced and we found a linea alba hernia defect measuring 2cm, which was repaired with mesh.We used a tip flexion type tacker and fixed the mesh using the double crown technique. SILS assist with 2mm forceps repair of a linea alba hernia is safe and effective with a good cosmetic outcome.

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