LAPAROSCOPIC REPAIR FOR MORGAGNI-LARREY HERNIA USING THE COMPOSIX MESH-REPORT OF A CASE-

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  • Larrey孔ヘルニアに対しComposix Meshを用いて腹腔鏡下修復術を施行した1例

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Abstract

A 79-year-old woman complaining of epigastralgia and dyspnea was referred to our hospital. Computed tomography revealed a diaphragmatic hernia with incarcerated transverse colon and fat tissues. Laparoscopic repair for the hernia was attempted. Laparoscope showed the Morgagni-Larrey hernia, and the size of the hernia orifice was 5×3cm in diameter. The defect was closed by laparoscopic direct sutures and reinforced with a Composix Mesh® fixed by a hernia stapler. We also made it easy to suture the hernia orifice by decreasing tension of the hernia orifice. The patient recovered promptly after hernia repair, and there was no recurrence in a chest X-ray film 1 year after the operation. Laparoscopic repair for Morgagni-Larrey hernia presents an attractive alternative to open surgery. Furthermore, the Composix Mesh® makes the procedure easier and recovery certain.

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