Intraperitoneal Onlay Mesh Plus Repair of an Abdominal Incisional Hernia after Renal Transplantation

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  • YOSHIOKA Shinichi
    Department of Surgery, Nishinomiya Municipal Central Hospital
  • SAITO Akina
    Department of Digestive Surgery, Hyogo Prefectural Nishinomiya Hospital
  • FUKUNAGA Mutsumi
    Department of Digestive Surgery, Hyogo Prefectural Nishinomiya Hospital
  • OKA Yoshio
    Department of Surgery, Nishinomiya Municipal Central Hospital
  • KOBAYASHI Kenji
    Department of Digestive Surgery, Hyogo Prefectural Nishinomiya Hospital
  • NEZU Riichiro
    Department of Surgery, Nishinomiya Municipal Central Hospital

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Other Title
  • IPOM Plus法が有用であった腎移植後腹壁瘢痕ヘルニアの1例
  • 症例 IPOM Plus法が有用であった腎移植後腹壁瘢痕ヘルニアの1例
  • ショウレイ IPOM Plusホウ ガ ユウヨウ デ アッタ ジン イショク アトバラヘキハンコン ヘルニア ノ 1レイ

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A 66-year-old man developed an 18 × 11 cm abdominal incisional hernia after surgery using a left oblique incision for renal transplantation. After 1 year 3 months, a laparoscopic intraperitoneal onlay mesh (IPOM) plus technique was performed to repair the incisional hernia using an IPOM plus abdominal wall suturing. There were no significant postoperative complications, and currently, 3 years after surgery, there has been no hernia recurrence during follow-up.<BR>Abdominal incisional hernias after renal transplantation surgery are relatively large, and giant hernias after an oblique flank incision at initial surgery can result in significant left-right differences. These left-right differences are difficult to treat with a standard IPOM repair.<BR>IPOM Plus repair is minimally invasive, and together with abdominal wall suturing, it is a useful technique to improve left-right differences due to giant abdominal incisional hernias after initial surgery with oblique incisions.

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