A case of simultaneous hernia repair and single-incision laparoscopic colectomy for cecum tumor using surgical glove port settled at a fascia defect of the incisional hernia

Abstract

repair to avoid a mesh infection. Mini-laparotomy was performed by a skin incision above the part of the fascia defect. After creation of surgical globe port using double plastic protector, 3 trocars were inserted for the operation. After the laparoscopically mobilization of the cecum and the ascending colon from the retro-peritoneum, ligation of the ileocolic vessels, resection Abstract We experienced a case of simultaneous operation of SILS (single-incision laparoscopic surgery) colectomy using fascia defect and the primary suture repair for incisional hernia. An 89 year old male patient was visited our hospital for the purpose of surgery for the incisional hernia. Before surgery, he was diagnosed as suspiciously cecum cancer. SILS using the fascia defect was performed for simultaneous hernia repair by the primary suture repair to avoid a mesh infection. For the repair of the hernia, the primary suture was performed using the delayed absorbable monofilament suture. Postoperative course was uneventful, then he discharged on 9th day after surgery. More than 3 years passed after surgery, no symptom of recurrence of cancer and hernia was observed by the clinical and imaging findings. It might be possible and important to obtain a satisfied treatment by selecting the most appropriate surgical procedure for each individual.