Complicated femoral hernia: Minimally invasive surgery management

Abstract

Introduction: Complicated femoral hernias can be managed by minimally invasive surgery techniques in the select group of patients. This helps reduce the morbidity of open surgery and enables faster recovery of the patient.

Concerns addressed: Delay in diagnosis can be reduced by a good clinical examination of the patient with a high index of suspicion for these patients. Imaging helps to confirm the clinical diagnosis and plan the operative intervention. In trained hands, the complicated femoral hernias can be managed by laparoscopy which enables better visualisation. Post-operative recovery is also enabled by the minimally invasive surgery done.

Conclusion: Minimally invasive laparoscopic surgery can be done in the select group of cases of complicated femoral hernia by trained surgeons.

Keywords: Complications; diagnosis; femoral hernia; minimally invasive surgery.

Figure 1

(Case 1) Intraoperative view of the Meckel’s Diverticulum after reducing from the femoral hernia defect

Figure 2

(Case 1) Prolene mesh placed to cover all the orifices of the Myopectineal Orifice of Fruchau

Figure 3

(Case 1) Staple line post Meckel’s diverticulectomy

Figure 4

(Case 2) Obstructed femoral hernia with part of the circumference of the jejunum as the contents

Figure 5

(Case 2) Area of perforation closed using interrupted vicryl sutures

Figure 6

(Case 2) Anatomical repair of the femoral defect done