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Case Reports
. 2018 Oct 19:36:110-112.
doi: 10.1016/j.amsu.2018.10.014. eCollection 2018 Dec.

Laparoscopic transabdominal preperitoneal repair of strangulated femoral hernia: Superiority of an unusual emergency surgical approach due to a case

Mehmet Tolga Kafadar  1 , Mehmet Ali Gök  2
Affiliations
Case Reports

Laparoscopic transabdominal preperitoneal repair of strangulated femoral hernia: Superiority of an unusual emergency surgical approach due to a case

Mehmet Tolga Kafadar et al. Ann Med Surg (Lond). .

Abstract

Introduction: Inguinal hernia repair is one of the most common operations of general surgery. In order to avoid complicated and urgent cases, performing such operations electively is generally accepted. Otherwise, unforeseen emergency surgical situations accompanied by incarceration and strangulation may occur.

Case presentation: In this article, we present a 45-year-old female patient with strangulated femoral hernia repair that we performed using the laparoscopic transabdominal preperitoneal method, unlike other conventional methods.

Discussion: Early diagnosis and elective surgical treatment have an important role in hernia surgery, especially due to increased morbidity and mortality. Laparoscopic inguinal hernia repair has developed in the recent years as a prominent method and nowadays it is performed much easier than the open method even in urgent and challenging cases.

Conclusion: The transabdominal preperitoneal method has superiority over the conventional method in terms of ensuring that intestinal loop is visible during the strangulated femoral hernia repair and that the feeding of the intestine is intact.

Keywords: Femoral hernia; Laparoscopic surgery; Strangulation.

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Figures

Fig. 1
Fig. 1
Laparoscopic transabdominal preperitoneal femoral hernia repair; positioning of the trocars (a), appearance of the hernia sac (b).
Fig. 2
Fig. 2
Placement of the mesh (a), repair with the stratafix (b).
See this image and copyright information in PMC

References

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