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Case Report: Intestinal obstruction secondary to an internal hernia following Lichtenstein hernia repair
Introduction: Inguinal hernias are usually treated with surgical repair. Intestinal obstruction immediately after inguinal hernia repair is rare. This report describes a case of intestinal obstruction due to an internal hernia after a Lichtenstein hernia repair.
Case: An 80-year-old male presented with intestinal obstruction and underwent a Lichtenstein repair of a right inguinal hernia. On the 5th postoperative day, he developed recurrent obstructive symptoms not improving with nonoperative management, and surgery was undertaken. On entering the peritoneal cavity, the small intestine was herniated through a peritoneal defect in the right lateral inguinal fossa. Absorbable adhesion barrier (INTERCEED®) was applied at site of the defect after laparoscopic resolution of intestinal obstruction. The patient has had no evidence of recurrence 4 months post-operation.
Discussion: The original inguinal hernia was repaired by the Lichtenstein technique, but intestinal obstruction developed postoperatively, which laparoscopy revealed to be an internal hernia. Preperitoneal hernia as a postoperative complication may have occurred due to peritoneal defect. Intraoperative placement of absorbable adhesion barrier at the site of the resected peritoneal defect may help prevent recurrence.departmental bulletin pape
低位前方切除後症候群(Low Anterior Resection Syndrome:LARS)の発生率・リスクファクター・生活の質に関する調査研究
自治医科大学博士(医学)令和6年度doctoral thesi
音響放射力インパルス(Acoustic Radiation Force Impulse)を伴う超音波により引き起こされる肺胞出血についての研究
自治医科大学博士(医学)令和6年度doctoral thesi