Totally extra-peritoneal repair for acute incarcerated femoral hernia with intestinal obstruction

Abstract

HighlightsDiscussion on minimally invasive approaches to acute groin hernia surgery.Technical ‘tips and tricks’ for emergency laparoscopic repair of femoral hernia.Review of the current literature.

Outcomes of laparoscopic repair in complicated groin hernia: A single institutional based cohort study in Nepal

“…Meanwhile, combined laparoscopic approach enables easy reduction of the contents with enough time for assessment of viability of the bowel and offers minimal risk of mesh infection [ 9 ].However, laparoscopic approach in complicated groin hernia is technically demanding, likely due to difficulty in dealing with the irreducible/strangulated contents and reduced working space. [ 10 ].…”

“…Most of the available literature have also shown successful reduction of the contents by different maneuvers, which may depend upon time of presentation and nature of hernia contents. In some cases there were evidence of automatic reduction of the contents post general anesthesia [ 6 , [10] , [11] , [12] ]. In contrast to our study, omentum was the primary content of the hernia sac in most of the previous studies [ [13] , [14] , [15] ].Combined laparoscopic approach allows sufficient time for gentle manipulation of contents during reduction along with careful inspection to detect any serosal tear or perforation of bowel, thus helping the surgeons to decide whether it needs resection [ [5] , [6] , [7] , 9 , 11 , 12 , 14 , 16 , 17 ].Our study also had one case with bowel injury while manipulating the edematous bowel which was repaired primarily.…”

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

“…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.…”