A Case of Incarceration of the Femoral Hernia of Phlegmonous Appendix

Nagasawa, Keiichi; Hasegawa, Hiroshi; Ogiso, Seiji; Yoshida, Hideto; Hiramatsu, Kazuhiro; Ohta, Atsuyuki; Nishio, Hisahide; Murata, Tohru; Kamei, Tomotaka; Taniai, Hisashi; Andoh, Hideya; Matsumoto, Takatoshi; Akita, Masatoshi

doi:10.3919/ringe1963.57.194

Cited by 2 publications

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“…Our extensive search of Japanese literature (1996–2020) revealed 45 cases of De Garengeot hernia, including the patients in our case series (Table 2 ) [ 10 – 47 ]. The median age of the patients was 77 years (IQR 71–83), and 84% were women.…”

Section: Discussionmentioning

confidence: 99%

“…Emergency surgery was performed in 88% of the patients. The McVay procedure was most commonly performed (43%) [ 10 , 13 , 14 , 16 , 17 , 19 , 21 , 23 , 29 , 30 , 34 , 35 , 37 , 44 ], followed by the mesh and plug [ 12 , 18 , 22 , 25 , 27 , 33 ], Kugel patch [ 28 , 40 , 45 , 46 ], suture of the femoral canal techniques [ 11 , 15 , 24 , 47 ], and laparoscopic procedures including the transabdominal preperitoneal [ 39 , 43 ] and totally extraperitoneal approaches [ 26 , 32 ]. The advantages of the laparoscopic approach lie in the ability to explore the content of the hernia and reduce the incarcerated organs under direct vision.…”

Section: Discussionmentioning

confidence: 99%

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Clinicopathological characteristics of De Garengeot hernia: six case reports and literature review

et al. 2021

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Background De Garengeot hernia, wherein the appendix is present within a femoral hernia, is a rare disease; therefore, the clinicopathological features remain to be clarified. This study aimed to reveal the clinicopathological characteristics of De Garengeot hernia. Case presentation Six patients who underwent appendectomy and herniorrhaphy between 1999 and 2018 were included. The incidence of De Garengeot hernia was 3.2% among the 182 femoral hernias that required surgery during the study period. The median age of the patients was 78 years, and five patients were women. The median body mass index was 20.1. Patients frequently had fever or elevated CRP level. Preoperative diagnoses based on computed tomography were femoral (n = 3), inguinal (n = 2), and De Garengeot (n = 1) hernias. Emergency and elective surgeries were performed in four and two patients, respectively. Histopathological examination of the resected appendix showed gangrenous appendicitis (n = 3), perforated appendicitis (n = 2), and appendiceal ischemia (n = 1) in the patients. Postoperatively, one patient developed sepsis. Conclusions Preoperative diagnosis of De Garengeot hernia is often difficult, and patients frequently have severe appendicitis. Precise diagnosis is required, and emergency surgery should be considered depending on the severity of appendicitis.

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Section: Discussionmentioning

confidence: 99%