Laparoscopic Ileus Operation Approached via Right Inguinal Hernia Sac

Toshiaki Aoki, Morio Kohno, Tomonori Hara, Yoshihiro Ohta, Katsumasa Saitou^*, Hirokatsu Ichimiya, Tatsuya Aoki^** and Yasuhisa Koyanagi^**

Department of Surgery, Makino Memorial Hospital and Department of Internal Medicine^*, 3rd Department of Surgery, Tokyo Medical University^**

We report a case of laparoscopic ileus surgery approached via a ritht inguinal hernia sac. A 68-years old man reporting nausea and diarrhea was given medication, that did not cured his symptom. He was admtted 2 days later. Abdominal plain film showed air fluid level. We diagnosed ileus, and a prolapsed fat component in the right inguinal hernia sac. The patient was treated conservatory and the air fluid level was improved, but was not completely cured. Surgery was conducted with a diagnosis of right inguinal hernia and small intestine ileus. We cut the right inguinal lesion, and prepared the hernia sac, inserting 12 mm and 5 mm trocars into the intraperitoneal space via the rithg inguinal hernia sac.
The abdomen was sufflated using carbon dioxide. Laparoscopic findings showed a cord-like omphalomesenteric band between the omentum and abdominal wall. We cut and coagulated the band by electoric monopolar scissors. This laparoscopic ileus operation approached via a right inguinal hernia sac is useful for a patients suffered from inguinal hernia and ileus because it avoids abdominal puncture or incision

Key words
laparoscopic operation, via inguinal hernia sa, ileus

Reprint requests
Toshiaki Aoki Department of Gastroenterological Surgery, Hachiouji Medical Center of Tokyo Medical University 1163 Tate-machi, Hachiouji-si, 193-0944 JAPAN

Accepted
July 24, 2002

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