Pediatric femoral hernia in the laparoscopic era

Abstract

Femoral hernia is a rare pathology in pediatric patients that is often difficult to diagnose. The laparoscopic approach is effective in the diagnosing and treating these hernias, and it allows for the simultaneous repair of multiple groin defects.

Laparoscopic identification of combined pediatric femoral hernia and ruptured abdominal cyst of the canal of Nuck: A report of an extremely rare case

“…As our philosophy is to avoid the use of artificial materials in pediatric patients, we decided to perform a simple closure of the femoral canal by laparoscopy‐assisted suturing of the ligament of Cooper and the inguinal ligament using absorbable thread, as described by Adibe et al 9 As reported recently 3 , a laparoscopic approach enabled the easy detection of femoral hernia, and in the present case, it helped us secure a safe and surefire repair.…”

“…However, McVay and Savage hypothesized that it involves a narrow congenital attachment between the posterior inguinal wall and the ligament of Cooper, resulting in an enlarged femoral ring 7 . The incidence of femoral hernia in children is reported to be 1% in those examined by an inguinal approach and 2.3% in those diagnosed laparoscopically 2,3 …”

“…Although various surgical procedures to repair femoral hernia have been reported, 8 there is no standard method for treating femoral hernia in children. A recent report examined the utility of a laparoscopic approach for femoral hernia and found that it provided better visualization of the abdominal wall and certainty about the diagnosis 3 …”

“…Femoral hernia is also rare in pediatric patients, accounting for between 1% and 2% of hernias 2,3 . The combination of femoral hernia and inguinal hernia, either direct or indirect, is reported to be extremely rare 4 .…”