A CASE OF LEFT EXTENDED LUMBER HERNIA REPAIRED BY USING MESH PLUGS UNDER LOCAL ANESTHESIA

• Published in: Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) Vol. 63; no. 2; pp. 495 - 498
• Main Authors: OKAMOTO, Tetsuya, SATO, Toshimitsu, TAMAUCHI, Toshio, SASAKI, Eiji, TAKEUCHI, Eiji
• Format: Journal Article
• Language: English
• Published: Japan Surgical Association 2002
• ISSN: 1345-2843; 1882-5133
• DOI: 10.3919/jjsa.63.495

A 79-year-old woman underwent an artificial capital replacement for left femoral neck fracture in January 2001. She had noticed a lateroabdominal tumor at the age of 20 when she had undergone a cesarian section, but she had let it alone. After the replacement procedure, abdominal pain appeared. Abdominal CT scan revealed hernia of the intestine at the left flank, and left lumber hernia was diagnosed. No findings suggestive of strangulation were revealed, and an elastic surgery was performed. At surgery, a longitudinal incision was made from the 12th rib to iliac bone under local anesthesia and on her right side. A hernia opening was 90×85mm in size, and was composed of the 12th rib, erector muscle of spine, internal-external oblique muscle of abdomen, and iliac bone. Extended lumber hernia was diagnosed. No incision was made to the hernia sac, but two EL size and one M size of mesh plugs were inserted and then composix mesh was used as an onlay patch. After the operation, seroma was formed but it was improved by a puncture. The patient was discharged very much improved from the hospital.