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Broad ligament hernia successfully repaired by single-incision laparoscopy: A case report
Hiroshi Takeyama1, Yuya Kogita1, Takahiko Nishigaki1
1Department of Surgery, Minoh City Hospital, Minoh, Japan.
Asian Journal of Endoscopic Surgery
|November 9, 2017
Summary
A rare broad ligament hernia in a woman was successfully diagnosed and repaired using single-incision laparoscopic surgery (SILS). This minimally invasive approach offers a potential solution for this uncommon internal hernia.
Area of Science:
- Abdominal Surgery
- Gastroenterology
- Minimally Invasive Procedures
Background:
- Internal hernias, particularly those involving the broad ligament, are uncommon causes of abdominal pain.
- Diagnostic challenges exist for identifying broad ligament defects and associated bowel complications.
Observation:
- A 52-year-old woman presented with lower abdominal pain, revealing sigmoid colon discontinuity on CT.
- Multi-detector CT suggested an internal hernia through a broad ligament defect.
- Single-incision laparoscopic surgery (SILS) confirmed a total left-sided broad ligament defect without bowel ischemia.
Findings:
- The broad ligament defect was successfully repaired using standard suturing techniques.
- The patient experienced a favorable outcome with no recurrence at 2-month follow-up.
Implications:
- This case highlights SILS as a viable and effective approach for diagnosing and treating broad ligament hernias.
- Successful SILS repair may offer a minimally invasive alternative for managing this rare condition.
- Further research could explore the broader application of SILS in treating similar internal hernias.
