| ID | 54458 |
| Sort Key | 7
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| Title Alternative | Incisional hernia repair after wide excision of the iliac bone
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| FullText URL | |
| Author |
Tsukuda, Kazunori
Minimally Invasive Therapy Center, Okayama University Hospital
Asano, Hiroaki
Minimally Invasive Therapy Center, Okayama University Hospital
Mandai, Yasuhiro
Center of the Development and Health Care Education, Okayama University
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| Abstract | The patient was a 46-year old Japanese female who had undergone wide excision of the iliac bone and hip transposition at our institute's orthopedics department 2 years earlier. She presented with a growing incisional hernia and was transferred to our gastroenterological surgery department for surgical treatment. We planned a mesh repair for the incisional hernia, which protruded over the right iliac bone. The dimensions of the abdominal defect were 15×9 cm, and we used prolene mesh to repair the defect. The mesh was fixed at the inner part of the iliac bone, folded back at the iliac horn and fixed to the abdominal oblique muscles. The postoperative course was smooth, and recurrence was not seen at 3.5 years after the operation. An incisional hernia as seen in this patient's case is very rare, but we found that the underlay technique and prolene mesh were very useful for the three-dimensional hernia repair.
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| Keywords | 腹壁瘢痕ヘルニア（incisional hernia）
腸骨軟骨肉腫（chondrosarcoma of the iliac bone）
腸骨広範囲切除術（wide excision of the iliac bone）
プロリーンメッシュ（prolene mesh）
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| Note | 症例報告(Case Reports)
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| Publication Title |
Journal of Okayama Medical Association
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| Published Date | 2016-08-01
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| Volume | volume128
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| Issue | issue2
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| Publisher | 岡山医学会
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| Publisher Alternative | Okayama Medical Association
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| Start Page | 117
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| End Page | 120
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| ISSN | 0030-1558
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| NCID | AN00032489
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| Content Type |
Journal Article
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| Related Url | isVersionOf https://doi.org/10.4044/joma.128.117
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| OAI-PMH Set |
岡山大学
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| language |
日本語
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| Copyright Holders | Copyright (c) 2016 岡山医学会
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| File Version | publisher
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| Refereed |
True
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| DOI | |
| NAID | |
| Eprints Journal Name | joma
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| References | 1 ) 下地 尚 : 骨盤腫瘍における根治的手術と安全な切除縁. 癌と化学療法 (2011) 38, 378-381.
2 ) Bosanquet DC, Ansell J, Abdelrahman T, Cornish J, Harries R, Stimpson A, Davies L, Glasbey JC, Frewer KA, Frewer NC, Russell D, Russell I, Torkington J : Systematic Review and Meta-Regression of Factors Affecting Midline Incisional Hernia Rates : Analysis of 14,618 Patients. PLoS One (2015) 10, e0138745. 3 ) Burger JW, Luijendijk RW, Hop WC, Halm JA, Verdaasdonk EG, Jeekel J : Long-term follow-up of a randomized controlled trial of suture versus mesh repair of incisional hernia. Ann Surg (2004) 240, 578-583. 4 ) Johnson KC, Miller MT, Plymale MA, Levy S, Davenport DL, Roth JS : Abdominal wall reconstruction : A comparison of totally extraperitoneal and transabdominal preperitoneal approach. J Am Coll Surg (2016) 222, 159-165. 5 ) 川崎誠康, 豊田 翔, 山本昌明, 水村真人, 今川敦夫, 亀山雅男 : 腹壁ヘルニアに対するメッシュ修復術における工夫. 日臨外会誌 (2012) 73, 1054-1058. 6 ) 松村卓樹, 蜂須賀丈博, 藤田雅央, 雫 真人, 末永泰人, 坂田和規, 倉田信彦, 森 敏宏 : Preperitoneal mesh repair による腹壁瘢痕ヘルニア修復術の検討. 日臨外会誌 (2015) 76, 2628-2634. 7 ) Moreno-Egea A, Carrillo-Alcaraz A, Soria-Aledo V : Randomized clinical trial of laparoscopic hernia repair comparing titanium-coated lightweight mesh and medium-weight composite mesh. Surg Endosc (2013) 27, 231-239. |
