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oai:jichi-ir.repo.nii.ac.jp:00000862 2025-05-30T07:46:09Z 14:1747372335465:38

Single incision laparoscopic surgery repair of a linea alba hernia 白線ヘルニアに対する単孔式ヘルニア修復術を施行した１例 Saito, Akira Haruta, Hidenori Kumagai, Yuko Kono, Yoshihiko Lefor K, Alan Sata, Naohiro case report Linea alba hernia laparoscopy single-incision laparoscopic surgery 症例報告 白線ヘルニア 腹腔鏡 単孔式腹腔鏡手術 A 55-year-old female presented with a subcutaneous mass in the upper midline. Computed tomography scan showed adipose tissue and the falciform ligament in the upper abdominal midline suggesting a linea alba hernia. Surgical repair was undertaken for progressive symptoms using single-incision laparoscopic surgery（ SILS）. A 2.5cm incision was made at the umbilicus and EZ access TM（ HAKKO, Tokyo） placed.Two 5mm ports were inserted and a wrap protector attached. We inserted a 2mm port and forceps to assist. Adipose tissue and the round ligament of the liver were incarcerated in the abdominal wall hernia.They were reduced and we found a linea alba hernia defect measuring 2cm, which was repaired with mesh.We used a tip flexion type tacker and fixed the mesh using the double crown technique. SILS assist with 2mm forceps repair of a linea alba hernia is safe and effective with a good cosmetic outcome. 自治医科大学 2020-03 eng departmental bulletin paper https://jichi-ir.repo.nii.ac.jp/records/862 1881-252X 自治医科大学紀要 Jichi Medical University Journal 42 15 18 https://jichi-ir.repo.nii.ac.jp/record/862/files/自治医科大学紀要 1881-252X(42)p15-18 2020.pdf application/pdf 335.4 kB 2020-04-09