鼠径法アプローチによるmesh修復法が有用であった異時性両側閉鎖孔ヘルニアの1例

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  • A Case of Metachronous Bilateral Obturator Hernia Successfully Treated by Mesh Repair Via Inguinal Approach.

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Aiming at less surgical stress, we employed an inguinal approach for metachronous bilateral obturator hernia in an 87-year-old woman because she had ileus due to intestinal incarceration. After releasing the incarcerated hernia, the hernia opening was closed by Marlex-mesh. At the same time, the obturator foremen as well as femoral hiatus and posterior wall of the inguinal duct were also covered with Mesh for the prevention of possible hernia of the inguen or thigh. The patient had uneventful postoperative course following the both operations.<br> The inguinal approach appears to be very beneficial procedure in that it is less invasive and is able to prevent other hernias.

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