@article{oai:dmu.repo.nii.ac.jp:00001307, author = {蜂谷, 裕之 and 池田, 真美 and 谷本, 芽弘理 and 冲永, 裕子 and 小山, 広人 and Hachiya, Hiroyuki and Ikeda, Mami and Tanimoto, Meguri and Okinaga, Yuko and Koyama, Hiroto}, issue = {2}, journal = {Dokkyo journal of medical sciences}, month = {Jul}, note = {症例は63歳女性.左下腹部膨隆を主訴に受診.CTで左腹直筋外縁に42 mm×38 mm大のヘルニア門を認め,小腸の脱出を認めた.また,臍窩部に13 mmのヘルニア門が存在しており,脂肪織の脱出を認めた.半月状線ヘルニア,臍ヘルニアと診断.3 portの腹腔鏡下にBARD(R) VENTRALIGHT(R),VENTRALEX(R)を用いたヘルニア修復術を施行した.腹壁ヘルニアの治療は,再発が少ないとされるメッシュを使用した修復が推奨されており,近年腹腔鏡を用いた修復術の報告も増えてきている.半月状線ヘルニアと臍ヘルニアの併存例の報告はなく,文献的考察を加え報告する., A 63-year-old woman was seen at the hospital because of a localized bulge in the left lower quadrant. A computed tomography examination showed a 42 mm×38 mm defect in the aponeurosis adjacent to the left rectus abdominis and a herniation of the small intestine. In addition, adipose tissue prolapsed at the umbilicus. The hernia orifice was 13 mm. Under a diagnosis of Spigelian hernia and Umbilical hernia, we repaired with the lapaloscopic surgery using BARD(R) VENTRALIGHT(R) and VENTRALEX(R). Operation time was 204 minutes. The patient was uneventfully discharged on postoperative day 7. The treatment of abdominal hernia, a mesh repair is recommended by reason of few recurrences. In recent years, the report of the laparoscopic surgical repair is increase. There is no report of combiantion of Spigelian hernia and Umbilical hernia and we have reported this case, along with a review of the literature., 症例報告}, pages = {137--141}, title = {腹腔鏡下に修復した半月状線ヘルニアと臍ヘルニアを併存した1例}, volume = {43}, year = {2016}, yomi = {ハチヤ, ヒロユキ and イケダ, マミ and タニモト, メグリ and オキナガ, ユコ and コヤマ, ヒロト} }