ブックタイトル2015鹿児島県臨床外科27巻

概要

2015鹿児島県臨床外科27巻

－48－Ⅴ肝・その他〔鹿臨外会誌27巻〕３．18メッシュの全層縫合を行うことが可能であった。また皮膚上に出た２本の縫合糸の結紮を容易に皮下で行う工夫を考案した。本法で縫合固定を積極的に行い、タッカーの使用個数を減らすことは、手術のコストを抑えるだけでなく、術後疼痛の軽減、メッシュの収縮を抑える可能性もあり有意義であると思われた。文献１）Seller CM, Bruckner T, Diener MK, etal: Interrupted or continuous slowlyabsorbable sutures for closure of primaryelective midline abdominal incision: Amulticenter randomized trial. Ann Surg2009; 249: 576-582２）Mudge MS, Hughes LE: Incisionalhernia: A 10-year prospective study ofincidence and attitudes. Br J Surg 1985;72: 70-71３）Yoshikawa K, Shimada M, Kurita N, etal: Hybrid technique for laparoscopicincisional ventral hernia repair combininglaparoscopic primary closure and meshrepair. Asian J Endosc Surg 2014;７:282-285４）川中博文，赤星朋比古，伊藤心二他：腹腔鏡下腹壁ヘルニア修復術の手技の工夫と治療成績．臨床と研究2013; 90: 1895-1901５）Tsuruta A, Hirai T, Nakamura M:Retrospective comparison of open versuslaparoscopic ventral and incisional herniarepair.Asian J Endosc Surg 2014;７l: 246-250６）Burger JW, Luijendijk RW, Hop WC, etal: Long-term follow-up of a randomizedcontrolled trial of suture versus meshrepair of incisional hernia. Ann Surg2004; 240: 578-583７）Stipa F, Giaccaglia V, Burza A, et al:Incisional hernia: Laparoscopic or openrepair? Surg Laparosc Endosc PercutanTech; 2013; 23: 419-422８）Zhang Y, Zhou H, Chai Y, et al:Laparoscopic versus open incisionaland ventral hernia repair; A systematicreview and meta-analysis. World J Surg2014; 38:2233-2240９）Bittne R, Bingener-Casey J, Dietz U, etal: Guideline for laparoscopic treatmentof ventral and incisional abdominal wallhernia（International Endohernia Society（IEHS）-Part１. Surg Endosc; 2014: 28:２-2910）Nguyen DH, Nguyen MT, AskenasyEP, et al: Primary fascial closure withlaparoscopic ventral hernia repair:systematic review. World J Surg 2014;38:3097-310411）Kobayashi M, Sakamoto J, NamikawaT, et al: Modified Funada’s gastropexyneedle for mesh fixation in thesubcutaneous layer using thread duringlaparoscopic incisional hernia repair. SurgLaparosc Endosc Percutan Tech 2007;17: 296-299－48－