Aetiology of femoral hernias revisited: bilateral femoral hernia in a young male (two cases)

Kochupapy, R. Thengungal; Ranganathan, Gayatri; Dias, Samara; Shanahan, D

doi:10.1308/003588413x13511609955733

Cited by 13 publications

(16 citation statements)

References 9 publications

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“…Anatomical variations in individuals can predispose to the development of femoral hernia in the presence of acquired predisposing factors. In adults, multiparous and obese women aged over 50 years are predominately affected [ 19 ]. In the presented series, no patient suffered from predisposing etiological factors like chronic pulmonary disease or obesity, and only one girl had the previous inguinal hernia repair during the early childhood.…”

Section: Discussionmentioning

confidence: 99%

Single-port laparoscopic percutaneous extraperitoneal closure of femoral hernia in children and adolescents: case series

Tröbs

Yilmaz²,

Bähr

et al. 2017

Hernia

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BackgroundFemoral hernias are an often unexpected groin pathology during childhood. However, the pediatric surgeon has to be aware to diagnose femoral hernia and to repair this condition. This is the first report on laparoscopic percutaneous extraperitoneal closure of femoral hernia (LPEF) in children and adolescents.MethodsOver a 6-year period in a bi-institutional clinical study, we retrospectively identified six children and one young adult who underwent LPEF repair.ResultsFemoral hernia was laparoscopically confirmed in seven patients. Ages at surgery were 3, 5, 7, 7, 8, 8.5, and 18 years, respectively. In the first case, we combined laparoscopic diagnosis with open repair. In the consecutive six cases, hernias were repaired minimally invasively with the percutaneous extraperitoneal technique described below. During a follow-up between 6 years and 6 months, no recurrence was observed.Surgical techniqueFor LPEF, we percutaneously placed a peritoneal U-shape suture with integrated transfixation of the hernia sac, closed with an epifascial knot. We performed LPEF using two graspers. The peritoneum was percutaneously punctured with a venous cannula through which the suture was inserted. One grasper was inserted through the working channel of the laparoscope to invert the hernia sac into the abdominal cavity. A mini-grasping forceps inserted through the cannula retrieved the thread and completed LPEF.ConclusionWe demonstrate that single-port laparoscopic percutaneous extraperitoneal closure of femoral hernia is successful and quick in children and in adolescents.

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Section: Discussionmentioning

confidence: 99%

Single-port laparoscopic percutaneous extraperitoneal closure of femoral hernia in children and adolescents: case series

Tröbs

Yilmaz²,

Bähr

et al. 2017

Hernia

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“…Seventeen studies included adult patients whereas six studies were on pediatric patients. Among the seventeen studies with adult patients 3 studies/cases were excluded as they reported on sporadic neurofibroma involving the bile ducts [ 5 – 7 ]. All three of these patients underwent successful resection of the sporadic neurofibroma.…”

Section: Resultsmentioning

confidence: 99%

Nonoperative Management May Be a Viable Approach to Plexiform Neurofibroma of the Porta Hepatis in Patients with Neurofibromatosis-1

et al. 2018

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Background Plexiform neurofibroma (PNF) in the porta hepatis (PH) is an unusual manifestation of neurofibromatosis-1 (NF-1). Resection is often recommended given the risk of malignant transformation. We encountered a challenging case in clinical practice which prompted us to report our findings and perform a systematic review on the management of these tumors. Methods We reported the case of a 31-year-old woman with NF-1 and PNF of the PH. PRISMA 2009 guidelines were followed for systematic review. Results Our patient was found to have unresectable disease at exploration. After >5 years of follow-up, she continued to have stable disease on imaging. We identified 12 studies/case reports including 10 adult and 6 pediatric patients with PNF of PH. None of the 7 adult patients with NF-1 and PNF of PH underwent a successful tumor resection. All pediatric patients were managed with surveillance alone. All but one pediatric patient had NF-1. None of the reported cases of PNF of PH had malignant transformation. Conclusion Our findings suggest that PNFs of PH in the setting of NF-1 are often unresectable and may have an indolent course. Surveillance alone may be a reasonable option in some patients; however, further studies are needed.

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“…The advantages are a lower recurrence, superior mesh fixation, lower post-op pain and shorter stay. 8 In high risk patients and Emergency, still open repair is preferred over laparoscopic repair, the conflict measures are there among surgeons. Our experience makes believe that even in high risk patients, laparoscopic repair can be taken with all preoperative preparations on mind.…”

Section: Discussionmentioning

confidence: 99%

A rare case of laparoscopic repair of incarcerated femoral hernia in patient of rheumatic heart disease with double valve replacement

Ambekar¹,

Shankar²

2018

Int Surg J

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Femoral hernias are very rare presentation in comparison to inguinal hernia. Femoral hernias are a protrusion of the peritoneal sac covered with an extraperitoneal pad of fat through the femoral canal. Mostly an acquired condition often with incarceration or strangulation. Laparoscopic repair of femoral hernia has a learning curve for surgeons and now being preferred by majority surgeons to the conventional open repair. We report a case of a 65 year female as a high risk case of rheumatic heart disease who had underwent double valve replacement in recent, was undertaken for total laparoscopic extraperitoneal repair with meshplasty for the incarcerated femoral hernia on left side, with faster recovery of patient postoperatively. Laparoscopic repair of a femoral hernia reduces the risk of reoperation for a recurrence compared with open repair.

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Aetiology of femoral hernias revisited: bilateral femoral hernia in a young male (two cases)

Cited by 13 publications

References 9 publications

Single-port laparoscopic percutaneous extraperitoneal closure of femoral hernia in children and adolescents: case series

Single-port laparoscopic percutaneous extraperitoneal closure of femoral hernia in children and adolescents: case series

Nonoperative Management May Be a Viable Approach to Plexiform Neurofibroma of the Porta Hepatis in Patients with Neurofibromatosis-1

A rare case of laparoscopic repair of incarcerated femoral hernia in patient of rheumatic heart disease with double valve replacement

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