부산대학교 도서관

A 43-year-old man underwent open reduction and internal fixation (ORIF) of an acetabular fracture with an Ilioinguinal + Kocher Langenbeck approach. He developed a right inguinal hernia postoperatively and was treated with transabdominal preperitoneal (TAPP) repair two years after ORIF. The Ilioinguinal approach for ORIF of acetabular fractures is comprised of dissection of the floor of the inguinal canal and mobilization of the iliopsoas muscles and external iliac vessels extraperitoneal ; therefore, inguinal hernia is one of the potential postoperative complications of this procedure. Although we were concerned about the postoperative risk of extraperitoneal adhesions after a TAPP repair, a right direct inguinal hernia was found easily with laparoscopy and the peritoneal incision and dissection around the hernial site were completed without any complications. We needed to be careful around Cooper's ligament and the external iliac vessels in order to reduce the risk of postoperative adhesions. We were able to place and fix the mesh appropriately and close the peritoneal flaps. TAPP appeared to be a beneficial treatment for an inguinal hernia that develops after ORIF for an acetabular fracture.