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Tsushimi T, Mori H, Nagase T, et al. A case of incarcerated umbilical hernia in an adult treated by laparoscopic surgery. J Surg Case Rep. 2015;2015(2)doi: 10.1093/jscr/rjv001.
Tsushimi, T., Mori, H., Nagase, T., Harada, T., & Ikeda, Y. (2015). A case of incarcerated umbilical hernia in an adult treated by laparoscopic surgery. Journal of surgical case reports, 2015(2), . https://doi.org/10.1093/jscr/rjv001
Tsushimi, Takaaki, et al. "A case of incarcerated umbilical hernia in an adult treated by laparoscopic surgery." Journal of surgical case reports vol. 2015,2 (2015). doi: https://doi.org/10.1093/jscr/rjv001
Tsushimi T, Mori H, Nagase T, Harada T, Ikeda Y. A case of incarcerated umbilical hernia in an adult treated by laparoscopic surgery. J Surg Case Rep. 2015 Feb 10;2015(2). doi: 10.1093/jscr/rjv001. PMID: 25672973; PMCID: PMC4323578.
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J Surg Case Rep. 2015 Feb 10;2015(2). doi: 10.1093/jscr/rjv001.

A case of incarcerated umbilical hernia in an adult treated by laparoscopic surgery.

Journal of surgical case reports

Takaaki Tsushimi, Hirohito Mori, Takashi Nagase, Takasuke Harada, Yoshitaka Ikeda

Affiliations

  1. Department of Surgery, Ehime Rosai Hospital, Niihama, Ehime, Japan [email protected].
  2. Department of Surgery, Ehime Rosai Hospital, Niihama, Ehime, Japan.

PMID: 25672973 PMCID: PMC4323578 DOI: 10.1093/jscr/rjv001

Abstract

A 42-year-old, obese woman was admitted to our hospital 3 h after the sudden development of abdominal pain. Her umbilical region was swollen and she was diagnosed with incarceration of an umbilical hernia by computed tomography. Although we tried, we were unable to reduce the hernia with a manipulative procedure. We decided to perform an emergency laparoscopy. Once general anesthesia was induced, we achieved hernia reduction. From a laparoscopic view, the portion of strangulated small intestine was neither necrotic nor perforated. The size of the hernial orifice was ∼2 × 2 cm, and thus, we selected a 12 × 12 cm composite mesh to cover the hernia defect by at least 5 cm in all directions. The surgical procedure was uneventful and the total operation time was 112 min. The patient recovered uneventfully and was discharged on postoperative day 9. She remains free of recurrence 20 months after surgery.

Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author 2015.

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