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  1. 050 医学部, 大学院医学系研究科
  2. 0507 学位論文
  3. 博士(医学)

Transabdominal Preperitoneal Repair for Obturator Hernia

http://hdl.handle.net/10091/16031
f735272b-f41f-44d3-9f31-b7e23e84c707
名前 / ファイル ライセンス アクション
H23Kou889_Yokoyama.pdf H23Kou889_Yokoyama.pdf (815.7 kB)
Item type 学術雑誌論文 / Journal Article(1)
公開日 2012-10-03
タイトル
言語 en
タイトル Transabdominal Preperitoneal Repair for Obturator Hernia
言語
言語 eng
資源タイプ
資源 http://purl.org/coar/resource_type/c_6501
タイプ journal article
著者 Yokoyama, Takahide

× Yokoyama, Takahide

WEKO 17534

Yokoyama, Takahide

Search repository
Kobayashi, Akira

× Kobayashi, Akira

WEKO 17535

Kobayashi, Akira

Search repository
Kikuchi, Toshiki

× Kikuchi, Toshiki

WEKO 17536

Kikuchi, Toshiki

Search repository
Hayashi, Ken

× Hayashi, Ken

WEKO 17537

Hayashi, Ken

Search repository
Miyagawa, Shinichi

× Miyagawa, Shinichi

WEKO 17538

Miyagawa, Shinichi

Search repository
出版者
出版者 SPRINGER
引用
内容記述タイプ Other
内容記述 WORLD JOURNAL OF SURGERY. 35(10):2323-2327 (2011)
書誌情報 WORLD JOURNAL OF SURGERY

巻 35, 号 10, p. 2323-2327, 発行日 2011-10
内容記述
内容記述タイプ Other
内容記述 信州大学博士(医学)・学位論文・平成23年3月31日授与(甲第889号)・横山隆秀
抄録
内容記述タイプ Abstract
内容記述 Background A laparoscopic surgical approach for obturator hernia (OH) repair is uncommon. The aim of the present study was to assess the effectiveness of laparoscopic transabdominal preperitoneal (TAPP) repair for OH. Methods From 2001 to May 2010, 659 patients with inguinal hernia underwent TAPP repair at in our institutes. Among these, the eight patients with OH were the subjects of this study. Results Three of the eight patients were diagnosed as having occult OH, and the other five were diagnosed preoperatively, by ultrasonography and/or computed tomography, as having strangulated OH. Bilateral OH was found in five patients (63%), and combined groin hernias, either unilaterally or bilaterally, were observed in seven patients (88%), all of whom had femoral hernia. Of the five patients with bowel obstruction at presentation, four were determined not to require resection after assessment of the intestinal viability by laparoscopy. There was one case of conversion to a two-stage hernia repair performed to avoid mesh contamination: addition of mini-laparotomy, followed by extraction of the gangrenous intestine for resection and anastomosis with simple peritoneal closure of the hernia defect in the first stage, and a Kugel hernia repair in the second stage. There was no incidence of postoperative morbidity, mortality, or recurrence. Conclusions Because TAPP allows assessment of not only the entire groin area bilaterally but also simultaneous assessment of the viability of the incarcerated intestine with a minimum abdominal wall defect, we believe that it is an adequate approach to the treatment of both occult and acutely incarcerated OH. Two-stage hernia repair is technically feasible in patients requiring resection of the incarcerated intestine.
資源タイプ(コンテンツの種類)
内容記述タイプ Other
内容記述 Article
ISSN
収録物識別子タイプ ISSN
収録物識別子 0364-2313
書誌レコードID
収録物識別子タイプ NCID
収録物識別子 AA0089099X
PubMed
関連識別子
識別子タイプ PMID
関連識別子 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?CMD=search&DB=pubmed&term=21858557
関連名称
関連名称 21858557
DOI
関連識別子
識別子タイプ DOI
関連識別子 https://doi.org/10.1007/s00268-011-1211-7
関連名称
関連名称 10.1007/s00268-011-1211-7
出版タイプ
出版タイプ AM
出版タイプResource http://purl.org/coar/version/c_ab4af688f83e57aa
WoS
表示名 Web of Science
URL http://gateway.isiknowledge.com/gateway/Gateway.cgi?&GWVersion=2&SrcAuth=ShinshuUniv&SrcApp=ShinshuUniv&DestLinkType=FullRecord&DestApp=WOS&KeyUT=000294807800019
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