A CASE OF LEFT EXTENDED LUMBER HERNIA REPAIRED BY USING MESH PLUGS UNDER LOCAL ANESTHESIA
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. Abdo...
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Published in | Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) Vol. 63; no. 2; pp. 495 - 498 |
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Main Authors | , , , , |
Format | Journal Article |
Language | English |
Published |
Japan Surgical Association
2002
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Online Access | Get full text |
ISSN | 1345-2843 1882-5133 |
DOI | 10.3919/jjsa.63.495 |
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Abstract | 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. |
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AbstractList | 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. |
Author | SATO, Toshimitsu TAMAUCHI, Toshio SASAKI, Eiji OKAMOTO, Tetsuya TAKEUCHI, Eiji |
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References | 20) 泉 純子,渡辺恒明,榊 芳和他:再発性腰部ヘルニアの1例.日臨外会誌 55: 1301-1304, 1994 9) 末永 直,小泉博義,熊本吉一他:腰ヘルニアの1治験例.臨外 42: 1877-1879, 1987 26) 岸本弘之,佐藤尚喜,猛田啓吾他:両側性再発上腰ヘルニアの1治験例.外科 58: 1292-1295, 1996 3) 大野良蔵,坂本五三六:ヘルニア根治手術に骨を応用することを提唱す附両側巨大腰ヘルニアの治験と手技.手術 4: 146-147, 1950 34) 平 成人,曽我浩之,小島茂嘉: Mesh-plug法により修復した上腰ヘルニアの1例.日臨外会誌 60: 1679-1683, 1999 7) 小笠原篤夫,鈴木政彦,小田 潔他:腰ヘルニアの1例.道南医会誌 20: 273-274, 1985 15) 篠原徹雄,内藤英明,奥平恭之:上腰部ヘルニァの1例.日臨外会誌 53: 189-192, 1992 29) 大下 勝,村田 徹,宮本好晴:上腰ヘルニアの経験.外科 58: 918-920, 1996 6) 宇野武治,河原崎秀雄,閨谷 洋他: Petit's Herniaの1例.日臨外会誌 45: 772-775, 1984 39) 出雲明彦,住友健三,宮武英志他:腹壁瘢痕ヘルニアに対するメッシュ・プラグ法の応用.手術 53: 759-761, 1999 5) 安井広明,寺島 晃,長谷茂彦:後天性腰ヘルニアの治験-腰ヘルニアに対する1手術法-.手術 11: 970-976, 1957 27) 今井直基,鬼塚惇義,林 勝知他:腰椎側彎症に伴った上腰ヘルニアの1例.外科 58: 1403-1406, 1996 22) 松田正裕,平田雄三,杉 桂二他:腹腔鏡下に修復術を施行した下腰ヘルニアの1例.日臨外会誌 56: 2477-2479, 1995 1) 丸山震五郎:腰ヘルニアに就て.日外会誌 6: 14-19, 1905 8) 迎山恭臣,隠岐公二,山下信義他:上腰ヘルニアの1手術治験例.外科 48: 1082-1084, 1986 16) 水野 均,大口善郎,松田康雄他:上腰ヘルニアの1例.日臨外会誌 54: 2177-2182, 1993 13) 池田正仁,宮崎信彦,石井祥裕他:上腰ヘルニアの1手術治験例.外科治療 65: 117-119, 1991 14) Shiiki S, Kuwata Y, Kashihara E, et al: A case of superior lumbar hernia. Jpn J Surg 21: 696-699, 1991 24) 多田豊治,天野信一:両側上腰ヘルニアの1例.三重医 40: 17-21, 1996 10) 岡部和倫,浜田英明,戸田完治他:正中腹壁ヘルニア及び腰ヘルニアの治験例.外科診療 32: 861-864, 1990 11) 川西孝和,藤田敏雄,魚谷英之他:上腰ヘルニアの1治験例.外科 52: 1529-1531, 1990 25) 石部良平,池江隆正,前田正彦:下腰ヘルニアの1手術例.外科 58: 1165-1167, 1996 28) 柏井英助,荒木京二郎,計田一法他:上腰ヘルニアの1治験例.臨外 51: 515-518, 1996 33) 長島由紀子,上野富雄,林 弘人他: Ehlers-Danlos症候群に腰ヘルニアを合併した1例.日臨外会誌 60: 2229-2232, 1999 36) 林 悟,山田章貴,林 太郎他:左鼠径ヘルニアを併発した成人両側上腰ヘルニアの1例.日臨外会誌 61: 1595-1598, 2000 38) 蜂須賀丈博,中山裕史,柴田有宏他: Mesh plugを用いた大腿ヘルニア修復術 大腿法を中心に.四日市病誌 1996年度版: 28-29, 1996 21) 白川靖博,成末允勇,金 仁朱他:上腰ヘルニアの1治験例および本邦報告例17例の検討.広島医 48: 1154-1158, 1995 19) 田中 実,梅田弘敏,大野光春他:特発性下腰ヘルニアの1手術治験例.臨外 49: 923-927, 1994 12) 清水 聡,朱 大慶,小山誠次他:腰ヘルニアの1例.京都南病医誌 11: 60-63, 1991 4) 前田美行:希有な腰ヘルニアの1例について.外科 12: 224-226, 1950 18) 濱崎宏明,矢吹 孝,持永信夫:上腰ヘルニアの1例および本邦報告例の検討.日外会誌 95: 719-721, 1994 17) 金沢 守,平岡 博,山本 修他:上腰ヘルニアの1治験例.日臨外会誌 54: 2687-2689, 1993 35) 田中幸一,山下裕一,高地俊郎他:上腰ヘルニアの1例.日臨外会誌 61: 2196-2199, 2000 2) 牧 政一:先天性腰「ヘルニア」ノ一例.兒科雑誌 6: 59-72, 1919 23) 加藤政隆,浅野元和,加藤全功他:上腰ヘルニアの1治験例. Med Postgrad 33: 61-64, 1995 37) Rutkow IM, Robbins AW: Tension-free inguinal herniorrhaphy A preliminary report on the mesh plug technique. Surgery 114: 3-8, 1993 30) 脇山英丘,沢村敏郎,服部哲也他:外傷性腰ヘルニアの2例.臨外 51: 381-384, 1996 32) 上井崇智,鈴木光一,中野勝也他: MRIが診断に有効であった上腰ヘルニアの1例.泌紀 45: 839-842, 1999 31) 中村好宏,石部良平,池江隆正他:術後に鼠径ヘルニアの出現をみた上腰ヘルニアの1例.臨外 53: 261-263, 1998 |
References_xml | – reference: 38) 蜂須賀丈博,中山裕史,柴田有宏他: Mesh plugを用いた大腿ヘルニア修復術 大腿法を中心に.四日市病誌 1996年度版: 28-29, 1996 – reference: 20) 泉 純子,渡辺恒明,榊 芳和他:再発性腰部ヘルニアの1例.日臨外会誌 55: 1301-1304, 1994 – reference: 3) 大野良蔵,坂本五三六:ヘルニア根治手術に骨を応用することを提唱す附両側巨大腰ヘルニアの治験と手技.手術 4: 146-147, 1950 – reference: 13) 池田正仁,宮崎信彦,石井祥裕他:上腰ヘルニアの1手術治験例.外科治療 65: 117-119, 1991 – reference: 24) 多田豊治,天野信一:両側上腰ヘルニアの1例.三重医 40: 17-21, 1996 – reference: 2) 牧 政一:先天性腰「ヘルニア」ノ一例.兒科雑誌 6: 59-72, 1919 – reference: 19) 田中 実,梅田弘敏,大野光春他:特発性下腰ヘルニアの1手術治験例.臨外 49: 923-927, 1994 – reference: 22) 松田正裕,平田雄三,杉 桂二他:腹腔鏡下に修復術を施行した下腰ヘルニアの1例.日臨外会誌 56: 2477-2479, 1995 – reference: 8) 迎山恭臣,隠岐公二,山下信義他:上腰ヘルニアの1手術治験例.外科 48: 1082-1084, 1986 – reference: 30) 脇山英丘,沢村敏郎,服部哲也他:外傷性腰ヘルニアの2例.臨外 51: 381-384, 1996 – reference: 11) 川西孝和,藤田敏雄,魚谷英之他:上腰ヘルニアの1治験例.外科 52: 1529-1531, 1990 – reference: 12) 清水 聡,朱 大慶,小山誠次他:腰ヘルニアの1例.京都南病医誌 11: 60-63, 1991 – reference: 15) 篠原徹雄,内藤英明,奥平恭之:上腰部ヘルニァの1例.日臨外会誌 53: 189-192, 1992 – reference: 16) 水野 均,大口善郎,松田康雄他:上腰ヘルニアの1例.日臨外会誌 54: 2177-2182, 1993 – reference: 33) 長島由紀子,上野富雄,林 弘人他: Ehlers-Danlos症候群に腰ヘルニアを合併した1例.日臨外会誌 60: 2229-2232, 1999 – reference: 34) 平 成人,曽我浩之,小島茂嘉: Mesh-plug法により修復した上腰ヘルニアの1例.日臨外会誌 60: 1679-1683, 1999 – reference: 1) 丸山震五郎:腰ヘルニアに就て.日外会誌 6: 14-19, 1905 – reference: 37) Rutkow IM, Robbins AW: Tension-free inguinal herniorrhaphy A preliminary report on the mesh plug technique. Surgery 114: 3-8, 1993 – reference: 6) 宇野武治,河原崎秀雄,閨谷 洋他: Petit's Herniaの1例.日臨外会誌 45: 772-775, 1984 – reference: 21) 白川靖博,成末允勇,金 仁朱他:上腰ヘルニアの1治験例および本邦報告例17例の検討.広島医 48: 1154-1158, 1995 – reference: 23) 加藤政隆,浅野元和,加藤全功他:上腰ヘルニアの1治験例. Med Postgrad 33: 61-64, 1995 – reference: 4) 前田美行:希有な腰ヘルニアの1例について.外科 12: 224-226, 1950 – reference: 9) 末永 直,小泉博義,熊本吉一他:腰ヘルニアの1治験例.臨外 42: 1877-1879, 1987 – reference: 29) 大下 勝,村田 徹,宮本好晴:上腰ヘルニアの経験.外科 58: 918-920, 1996 – reference: 17) 金沢 守,平岡 博,山本 修他:上腰ヘルニアの1治験例.日臨外会誌 54: 2687-2689, 1993 – reference: 7) 小笠原篤夫,鈴木政彦,小田 潔他:腰ヘルニアの1例.道南医会誌 20: 273-274, 1985 – reference: 10) 岡部和倫,浜田英明,戸田完治他:正中腹壁ヘルニア及び腰ヘルニアの治験例.外科診療 32: 861-864, 1990 – reference: 25) 石部良平,池江隆正,前田正彦:下腰ヘルニアの1手術例.外科 58: 1165-1167, 1996 – reference: 39) 出雲明彦,住友健三,宮武英志他:腹壁瘢痕ヘルニアに対するメッシュ・プラグ法の応用.手術 53: 759-761, 1999 – reference: 32) 上井崇智,鈴木光一,中野勝也他: MRIが診断に有効であった上腰ヘルニアの1例.泌紀 45: 839-842, 1999 – reference: 31) 中村好宏,石部良平,池江隆正他:術後に鼠径ヘルニアの出現をみた上腰ヘルニアの1例.臨外 53: 261-263, 1998 – reference: 5) 安井広明,寺島 晃,長谷茂彦:後天性腰ヘルニアの治験-腰ヘルニアに対する1手術法-.手術 11: 970-976, 1957 – reference: 35) 田中幸一,山下裕一,高地俊郎他:上腰ヘルニアの1例.日臨外会誌 61: 2196-2199, 2000 – reference: 36) 林 悟,山田章貴,林 太郎他:左鼠径ヘルニアを併発した成人両側上腰ヘルニアの1例.日臨外会誌 61: 1595-1598, 2000 – reference: 26) 岸本弘之,佐藤尚喜,猛田啓吾他:両側性再発上腰ヘルニアの1治験例.外科 58: 1292-1295, 1996 – reference: 14) Shiiki S, Kuwata Y, Kashihara E, et al: A case of superior lumbar hernia. Jpn J Surg 21: 696-699, 1991 – reference: 28) 柏井英助,荒木京二郎,計田一法他:上腰ヘルニアの1治験例.臨外 51: 515-518, 1996 – reference: 18) 濱崎宏明,矢吹 孝,持永信夫:上腰ヘルニアの1例および本邦報告例の検討.日外会誌 95: 719-721, 1994 – reference: 27) 今井直基,鬼塚惇義,林 勝知他:腰椎側彎症に伴った上腰ヘルニアの1例.外科 58: 1403-1406, 1996 |
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Title | A CASE OF LEFT EXTENDED LUMBER HERNIA REPAIRED BY USING MESH PLUGS UNDER LOCAL ANESTHESIA |
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