Laparoscopic Incisional Hernia Repair with Mesh
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- Nomura Tsutomu
- Department of Gastrointestinal and Hepato-Billiary-Pancreatic Surgery, Nippon Medical School
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- Matsutani Takeshi
- Department of Gastrointestinal and Hepato-Billiary-Pancreatic Surgery, Nippon Medical School
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- Hagiwara Nobutoshi
- Department of Gastrointestinal and Hepato-Billiary-Pancreatic Surgery, Nippon Medical School
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- Fujita Itsuro
- Department of Gastrointestinal and Hepato-Billiary-Pancreatic Surgery, Nippon Medical School
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- Kanazawa Yoshikazu
- Department of Gastrointestinal and Hepato-Billiary-Pancreatic Surgery, Nippon Medical School
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- Nakamura Yoshiharu
- Department of Gastrointestinal and Hepato-Billiary-Pancreatic Surgery, Nippon Medical School
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- Shinji Seiichi
- Department of Gastrointestinal and Hepato-Billiary-Pancreatic Surgery, Nippon Medical School
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- Furuki Hiroyasu
- Department of Gastrointestinal and Hepato-Billiary-Pancreatic Surgery, Nippon Medical School
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- Masuda Hiroki
- Department of Gastrointestinal and Hepato-Billiary-Pancreatic Surgery, Nippon Medical School
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- Uchida Eiji
- Department of Gastrointestinal and Hepato-Billiary-Pancreatic Surgery, Nippon Medical School
Bibliographic Information
- Other Title
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- 腹壁瘢痕ヘルニアに対するメッシュを用いた腹腔鏡下手術
- 臨床医のために 腹壁瘢痕ヘルニアに対するメッシュを用いた腹腔鏡下手術
- リンショウイ ノ タメニ フクヘキハンコン ヘルニア ニ タイスル メッシュ オ モチイタ フククウキョウ シタテジュツ
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Abstract
Laparoscopic incisional hernia repair with mesh is widely performed in Western countries as a treatment that is considered more reliable than conventional open repair. However, this procedure is not common in Japan. We report our experiences with this procedure using a new type of mesh (Ventralight ST TM, Medicon, Osaka, Japan). This procedure is indicated for almost all patients with incisional hernia but was difficult to perform for patients with giant hernia of the flank after nephrectomy. The procedure is performed with the patient in the supine position and 4 or 5 ports. One port is a 12-mm port, and the others are 5-mm ports. First, the 12-mm port is inserted in the left hypochondrium by the optical method. After pneumoperitoneum is established, we observe the abdominal cavity with a 5-mm flexible endoscope and insert the other ports, while dissecting peritoneal adhesions as necessary. We measure the hernia and trim the mesh to secure at least a 3-cm overlap with the normal abdominal wall. We insert the mesh through the 12-mm port, lift it to make tight contact with the abdominal wall by means of a transfixed thread, and fix the mesh with spiral tackers. We have performed this procedure for 14 patients. The mean operative duration was 127 minutes, and the average postoperative hospital stay was 5.9 days. There were no complications except for seroma, and the patient satisfaction was extremely high. In conclusion, laparoscopic incisional hernia repair with mesh is a useful and promising treatment that will, we believe, be introduced in many institutions in Japan.
Journal
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- Nihon Ika Daigaku Igakkai Zasshi
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Nihon Ika Daigaku Igakkai Zasshi 11 (1), 16-19, 2015
The Medical Association of Nippon Medical School
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Details 詳細情報について
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- CRID
- 1390001205230665088
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- NII Article ID
- 130004941838
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- NII Book ID
- AA1200910X
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- ISSN
- 18802877
- 13498975
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- NDL BIB ID
- 026256306
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed