Laparoscopic Total Extraperitoneal Repair in Femoral Hernia Without Fixation of the Mesh

Garg, Pankaj; Ismail, Mohamed

doi:10.4293/108680809x12589999537995

Cited by 15 publications

(6 citation statements)

References 23 publications

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“…Conditions that promote OH include a congenitally large obturator foramen, increased intra-abdominal pressure (chronic obstructive pulmonary disease, constipation, pregnancy, multiparity, ascites, kyphoscoliosis) and an increase in size of the obturator foramen relative to the surrounding adipose tissue resulting from dramatic weight loss 9. Femoral hernia is another relatively rare form of herniation, with an incidence of 2–8% of groin hernias, with a female predominance 3. A recent small case series by Yokoyama et al 10 reports the highest incidence of both bilateral OH (5 of 8 patients, 63%), and concomitant OH and femoral herniae (7 of 8 patients, 88%).…”

Section: Discussionmentioning

confidence: 99%

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Laparoscopic total extraperitoneal repair of preoperatively diagnosed bilateral obturator and incidental bilateral femoral herniae

et al. 2016

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Obturator hernia (OH), a rare type of hernia, is associated with high morbidity and mortality. Diagnosis is often delayed as clinical symptoms are typically non-specific. OH is frequently associated with other occult inguinopelvic herniae. Early diagnosis is vital to decrease morbidity and mortality. We report the case of a 75-year-old woman who presented to the surgical outpatients' department with non-specific bilateral groin pain radiating to the thighs. CT of the pelvis demonstrated bilateral OH with no radiological evidence of bowel obstruction. Semiurgent elective laparoscopic total extraperitoneal mesh repair was performed. Intraoperative findings confirmed bilateral obturator herniae as well as incidental bilateral femoral herniae. This case highlights the need for a high index of suspicion for such concomitant hernias that, in the presence of OH, may only be identified intraoperatively.

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Section: Discussionmentioning

confidence: 99%

“…It is an important, though uncommon, cause of intestinal obstruction, first described in 1724 by Amuad de Ronsil 2. Femoral hernia is another distinct, relatively rare form of herniation 3. Both types of hernia are associated with high morbidity and mortality 1–3…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic total extraperitoneal repair of preoperatively diagnosed bilateral obturator and incidental bilateral femoral herniae

et al. 2016

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“…La o proporţie semnificativă de pacienţi operaţi pe cale laparoscopică, s-a pus în evidenţă o hernie femurală asociată herniei inghinale, literatura de specialitate raportând o incidenţă de 6-33% [20][21][22]. Aceste hernii concomitente sunt uşor tratate în aceeaşi şedinţă operatorie laparoscopică.…”

Section: Discuţiiunclassified

Laparoscopic Treatment for Multiple Inguinal Hernias – Case Report

Timişescu¹,

Iordache²

2013

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The miopectineal weak area described by Fruchaud is better visualized by laparoscopic approach, and associated occult hernias of this region can be easily diagnosed, either ipsilateral or contralateral. The goal of this paper is to emphasize the less obvious advantages of mini-invasive approach, by a case study of a bilateral hernia (left inguinal hernia and recurrent right inguinal hernia), operated by laparoscopic means using TEP (total extraperitoneal) approach. A femoral hernia without clinical manifestations was diagnosed intraoperatively. All three hernias were repaired during the same operation. The postoperative course was uneventful and the patient was discharged three days after the procedure. CONCLUSIONS: The laparoscopic approach of inguinal hernias offers the possibility to diagnose and to treat the occult inguinal hernias with low rate of postoperative morbidity and recurrence.

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“…Of all the groin hernias that occur in the general population, it comprises 2% to 8% of them and 30% in females. 5 Synchronous hernias are rare and are very rarely reported. To our knowledge this is the second such case reported in literature having three synchronous hernias repaired by single pre peritoneal polypropylene mesh TAPP approach.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic transabdominal preperitoneal repair of concurrent spigelian and groin hernias: a rare case

et al. 2021

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Spigelian hernia is a rare type of abdominal wall hernia due to congenital defect in the transversus aponeurosis fascia. It has a prevalence of 2%. Traditionally, an anterior hernioplasty was used to repair these defects. Only a few cases have been reported in the literature. Here we discuss a case of a 66 year old female with chronic lower abdominal pain with swelling in left inguinal area diagnosed with spigelian hernia on ct scan along with left direct hernia as well as left femoral hernia found incidentally and repaired using totally extra peritoneal single mesh repair.

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Laparoscopic Total Extraperitoneal Repair in Femoral Hernia Without Fixation of the Mesh

Abstract: The authors conclude that laparoscopic femoral hernia repair with mesh fixation is a safe, feasible procedure associated with minimal morbidity and recurrence rate.

Cited by 15 publications

References 23 publications

Laparoscopic total extraperitoneal repair of preoperatively diagnosed bilateral obturator and incidental bilateral femoral herniae

Laparoscopic total extraperitoneal repair of preoperatively diagnosed bilateral obturator and incidental bilateral femoral herniae

Laparoscopic Treatment for Multiple Inguinal Hernias – Case Report

Laparoscopic transabdominal preperitoneal repair of concurrent spigelian and groin hernias: a rare case

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