Single-incision laparoscopic repair for an arcuate line hern
The patient was a 78-year-old man who presented with a history of intermittent lower abdominal quadrant pain of more than 2 months duration. He had not previously undergone abdominal surgery but had a history of mycobacterial lung disease and asthma. His vital signs were normal on presentation, and he experienced no vomiting or nausea. On palpation, his abdomen was flat and soft, and no mass was palpable. However, there was slight tenderness in the right lower quadrant. Blood laboratory test results were within normal ranges. Computed tomography revealed small bowel protrusion between the rectus abdominis and the posterior rectus sheath, and an arcuate line hernia was suspected and subsequently confirmed intraoperatively. The patient underwent single-incision laparoscopic repair with the intraperitoneal onlay mesh technique with tacks and with care to avoid the inferior epigastric vessels. The operation time was 30 min, and no intra- or postoperative complications occurred. Surgery relieved his symptoms, with no recurrence within 1 year postoperatively.