A Case of Successful Hernia Repair for Giant Midline Incisional Hernia After Abdomino-Perineal Resection of Rectum

DOI 7 References
  • Shiba Hiroaki
    Department of Hepato-Biliary-Pancreatic Surgery Jikei University School of Medicine
  • Misawa Takeyuki
    Department of Hepato-Biliary-Pancreatic Surgery Jikei University School of Medicine
  • Ito Ryusuke
    Department of Hepato-Biliary-Pancreatic Surgery Jikei University School of Medicine
  • Wakiyama Shigeki
    Department of Hepato-Biliary-Pancreatic Surgery Jikei University School of Medicine
  • Ishida Yuichi
    Department of Hepato-Biliary-Pancreatic Surgery Jikei University School of Medicine
  • Yanaga Katsuhiko
    Department of Surgery Jikei University School of Medicine

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  • 腹会陰式直腸切断術後の正中創巨大腹壁瘢痕ヘルニアに対する１手術例

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A 79-year-old woman admitted to our hospital for hernia repair of giant midline incisional hernia 1 year after abdomino-perineal resection of rectum for Bowen disease complicated with surgical site infection of midline and perineal incision. On physical findings, a midline incisional hernia measuring 16×9 cm in diameters was found without parastomal hernia. Hernia repair was performed using Composix EX (25cm×20cm) under general anesthesia. After separation of Retziusʼ cavity, mesh was fixed in an os pubis facies posterior, Cooperʼs ligament, and rectus abdominis muscle as circumference, and hernia orifice as internal circumference. Operation time was 220 minutes, and blood loss was 40 g. The patient made a satisfactory recovery and was discharged on nine post-operative day 9. The patient remains well with no evidence of recurrence of hernia 1 year after operation.

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