A rare case of incarcerated femoral hernia containing small bowel and appendix

Sinclair, Pierre; Kadhum, Murtaza; Davidson, Tsetsegdemberel Bat-Ulzii

doi:10.1136/bcr-2018-225174

Cited by 8 publications

(3 citation statements)

References 8 publications

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“…History and clinical examination usually determine the diagnosis, and no supplemental imaging is needed unless there are specific circumstances. CT imaging or ultrasound may be useful in the face of possible bowel obstruction; however, they are not required per se for surgical intervention ( 6 , 7 ). There are two options for inguinal hernias repair, open and laparoscopic ( 8 ).…”

Section: Introductionmentioning

confidence: 99%

Postoperative Pain Scores After Open Inguinal Hernia Repair: Comparison of Three Postoperative Analgesic Regimens

Mulita¹,

Parchas²,

Solou³

et al. 2020

Med Arch

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Section: Introductionmentioning

confidence: 99%

Postoperative Pain Scores After Open Inguinal Hernia Repair: Comparison of Three Postoperative Analgesic Regimens

Mulita¹,

Parchas²,

Solou³

et al. 2020

Med Arch

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“…These patients underwent laparoscopic surgery for incarcerated femoral hernia (Table 2). [9][10][11][12][13][14][15][16][17][18][19] While the traction method seems to be the most popular method, preperitoneal method was performed in three patients. It should also be noted that bowel resections were rarely performed in these patients.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic approach as a safe and effective option for incarcerated femoral hernias

Okazaki

Poudel

Hane

et al. 2021

Asian J Endoscop Surgery

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Introduction:The laparoscopic approach for elective femoral herniorrhaphy is well established. However, femoral hernias often present as incarcerations and require emergency repair surgery, mainly using the open approach. This study aimed to retrospectively analyze the efficacy of the laparoscopic approach for incarcerated femoral hernias.Methods: Data of patients who underwent emergency surgery for incarcerated femoral hernia between April 2016 and August 2021 were retrospectively analyzed. Laparoscopy was performed whenever possible; however, conversion to an open approach remained a fallback option for when laparoscopic repair was not possible. In laparoscopic repair, incarcerated femoral hernias reduced using traction, water pressure, and preperitoneal methods. Data of patients who underwent open repair and laparoscopy were then compared.Results: During the observation period, 20 patients underwent emergency surgery for incarcerated femoral hernia. Eleven patients subsequently underwent repair using a laparoscopic approach, and eight underwent repair using an open approach. Only one patient underwent intestinal resection without hernia repair due to perforated bowel. Operative time for laparoscopic repair was longer. Mesh repair was performed in 18 patients. Four patients each in the laparoscopic repair and open group required intestinal resection. Conclusion:Incarcerated femoral hernias can be safely repaired using the laparoscopic approach.

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“…Most of the times, De Garengeot hernias are diagnosed intraoperatively as an incidental finding,2 6 with a limited number of reports suggesting a role for a preoperative CT scanning in establishing the diagnosis 8 9. Although there is no established guideline on its management, the general consensus is an emergency surgery with either an open or laparoscopic approach to remove the appendix and to fix the femoral hernia 10…”

Section: Discussionmentioning

confidence: 99%

Unusual presentation of De Garengeot hernia

Lee¹,

Mantelakis

Nahid

et al. 2019

BMJ Case Rep

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De Garengeot hernia describes a rare phenomenon in which a vermiform appendix is found in a femoral hernia sac. We describe a case of De Garengeot hernia presenting as a groin lump associated with loss of appetite, weight loss and fatigue. A 72-year-old woman was referred to our rapid access 2-week clinic as isolated lymphadenopathy with a 4-week history of a gradual right groin swelling accompanied by an unintentional weight loss, lethargy and anorexia. An urgent excisional lymph node biopsy was performed preceding the CT scan of the chest, abdomen and pelvis. The biopsy showed a shaving of appendix wall, and the CT scan revealed a right-sided femoral hernia with appendix as its content. The patient was urgently contacted for a laparoscopic appendicectomy and an open right femoral hernia repair. The patient recovered well postoperatively, and her systemic symptoms fully resolved when reviewed 10 weeks after the operation.

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A rare case of incarcerated femoral hernia containing small bowel and appendix

Cited by 8 publications

References 8 publications

Postoperative Pain Scores After Open Inguinal Hernia Repair: Comparison of Three Postoperative Analgesic Regimens

Postoperative Pain Scores After Open Inguinal Hernia Repair: Comparison of Three Postoperative Analgesic Regimens

Laparoscopic approach as a safe and effective option for incarcerated femoral hernias

Unusual presentation of De Garengeot hernia

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