臨床外科79巻8号

2024年08月発行

腹壁ヘルニア修復術道場・3

腹壁瘢痕ヘルニア手術のための腹壁解剖

著者： 諏訪勝仁¹

所属機関： ¹東京慈恵会医科大学附属第三病院外科

ページ範囲：P.935 - P.942

文献概要

はじめに
　腹壁瘢痕ヘルニア修復術のゴールは，再発や合併症の低減だけでなく，腹壁機能の再構築を視野に入れる必要がある．最近のガイドラインでは，この術式について，ヘルニア門閉鎖後にメッシュを留置することを推奨している．大きな筋層欠損閉鎖にコンポーネントセパレーションは必須であり，このためには腹壁構造をより詳細に理解する必要がある．

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