De Garengeot Hernia Complicated by Acute Appendicitis in a Patient Who Simultaneously Underwent Elective Laparoscopic Appendectomy and Femoral Hernia Repair by Transabdominal Preperitoneal Repair

Danbara, Tetsuya; Hayashi, Ken

doi:10.5833/jjgs.2017.0184

Cited by 4 publications

(3 citation statements)

References 40 publications

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“…No mesh infections occurred in patients who had undergone laparoscopic mesh‐based repair 1 . Furthermore, Danbara and Hayashi observed that wound infection occurred in 5% of 40 patients (including 35 with appendicitis, among whom seven had gangrenous appendicitis) who had undergone repair with foreign materials, but none of the infections involved mesh infection 8 …”

Section: Discussionmentioning

confidence: 99%

“…With regard to the treatment of De Garengeot hernia, the most common surgical approach has been inguinal incision for both appendectomy and hernia repair; hernia repair is performed with suture techniques 1 . We searched the PubMed and Ichushi‐Web databases for reports containing the key word “Garengeot” and found four reports and a review article describing simultaneous LA and mesh‐based hernia repair 4‐8 . Four cases from abroad and six cases from Japan, including the present case, have been reported (Table 1).…”

Section: Discussionmentioning

confidence: 99%

“…Several surgical strategies have been published, including open and laparoscopic approaches with or without appendectomy, a mesh, or simple suture hernioplasty 1‐3 . In several cases, 4‐8 the laparoscopic approach was chosen for both appendectomy and hernia repair. This report presents the first case of De Garengeot hernia in a male patient successfully treated with simultaneous laparoscopic appendectomy (LA) and transabdominal preperitoneal (TAPP) hernia repair.…”

Section: Introductionmentioning

confidence: 99%

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Rare presentation of De Garengeot hernia treated by transabdominal preperitoneal hernia repair: A case report

Fujiwara¹,

Sakai²,

Umemura

et al. 2020

Asian J Endoscop Surgery

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We present a rare case of De Garengeot hernia treated with simultaneous laparoscopic appendectomy and transabdominal preperitoneal hernia repair. Our patient was an 85‐year‐old man with a bulging mass in the right groin. De Garengeot hernia was observed on contrast‐enhanced CT. Urgent laparoscopy showed the distal part of the appendix passing through a right‐sided femoral hernia. Laparoscopic appendectomy was performed, followed by transabdominal preperitoneal repair of the femoral hernia. Pathological examination revealed ischemic necrosis of the appendix. The patient's postoperative recovery was uneventful.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Rare presentation of De Garengeot hernia treated by transabdominal preperitoneal hernia repair: A case report

Fujiwara¹,

Sakai²,

Umemura

et al. 2020

Asian J Endoscop Surgery

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De Garengeot’s hernia patients entirely treated laparoscopically: a safe and feasible alternative—a systematic review

Gómez-Portilla

Merino

Heredia

et al. 2023

Langenbecks Arch Surg

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Purpose Less than 450 cases of femoral hernias containing the vermiform appendix have been published since De Garengeot’s first description. A laparoscopic treatment option opened 15 years ago seems reliable and safe. A literature review of all the patients who have benefited from this new therapeutic alternative is presented. Methods A systematic review using the German Society of Surgery’s recommendations was performed for De Garengeot’s hernias totally treated laparoscopically. Keywords searched included “De Garengeot hernia” OR “femoral hernia appendix” OR “crural hernia appendix.” Results Only 29 out of 225 De Garengeot hernia’s manuscripts were identified describing patients entirely treated laparoscopically: 25 patients by a transabdominal preperitoneal hernia repair (TAPP) and 4 patients by a total extraperitoneal (TEP) procedure; 85.1% were females. The mean age was 71 years. Twenty-two patients had pre-operative imaging tests, sonography (2), computed tomography (14), or both (6). Nevertheless, only 56% had a preoperative diagnosis. Twenty-one cases required urgent treatment, while programmed surgery was possible in 7 instances. An appendix-sparing procedure could be done in 16% of the TAPPs. No postoperative complications occurred. The median hospital stay was 2.5 days. Conclusions The best surgical approach for a De Garengeot’s hernia is not defined, and many critical questions remain unanswered. A better understanding of the diagnosis and treatment of this peculiar hernia will supply guidelines for clinicians who may encounter it hereafter. A fully laparoscopic approach seems perfectly safe and feasible for this entity, and it could be considered the first-line alternative if enough expertise is available.

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The uncommon preoperative diagnosis of a De Garengeot hernia and its more novel laparoscopic treatment

Sylvester,

Singh,

Haque

2024

BMJ Case Rep

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This case report involves an elderly woman who presented with a 3-day history of a tender groin swelling on her right side. Her admission bloods were fairly unremarkable, but a preoperative ultrasound impressively confirmed a femoral hernia containing the appendix (De Garengeot hernia) and she underwent emergency laparoscopic hernioplasty with a prosthetic mesh and appendicectomy. The procedure found an incarcerated hernia with a strangulated tip of the appendix that unexpectedly separated upon gentle manipulation and histopathology revealed appendiceal inflammation. There were no complications with the patient’s recovery and she was discharged 2 days after surgery.

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De Garengeot Hernia Complicated by Acute Appendicitis in a Patient Who Simultaneously Underwent Elective Laparoscopic Appendectomy and Femoral Hernia Repair by Transabdominal Preperitoneal Repair

Cited by 4 publications

References 40 publications

Rare presentation of De Garengeot hernia treated by transabdominal preperitoneal hernia repair: A case report

Rare presentation of De Garengeot hernia treated by transabdominal preperitoneal hernia repair: A case report

De Garengeot’s hernia patients entirely treated laparoscopically: a safe and feasible alternative—a systematic review

The uncommon preoperative diagnosis of a De Garengeot hernia and its more novel laparoscopic treatment

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