Totally extra-peritoneal repair for acute incarcerated femoral hernia with intestinal obstruction. (2017)

• Record Type: Journal Article
• Authors: Kim, Guowei; Yan So, Jimmy Bok; Shabbir, Asim
• Is Part Of: International journal of surgery case reports. Volume 32(2017)
• Page Start: 16
• Page End: 18
• Publication Date: 2017
• Subjects: Totally extra-peritoneal repair -- Femoral hernia -- Incarcerated -- Obstructed -- Case report; Surgery -- Periodicals; Surgical Procedures, Operative -- Periodicals; Surgery; Electronic journals; Periodicals; 617.005
• DOI: 10.1016/j.ijscr.2017.01.034
• Languages: English
• ISSNs: 2210-2612

Abstract

Highlights: Discussion 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. Abstract: Introduction: Femoral hernias frequently present with incarceration, resulting in obstruction and strangulation. Laparoscopic groin hernia repairs have been shown in the elective setting to be an effective alternative to open repair. Acute incarceration of groin hernia with obstruction, though previously seen as a relative contraindication, has been increasingly repaired with minimally invasive techniques, with the potential benefit of avoiding the morbidity associated with a laparotomy. Presentation of case and discussion: We describe a case of an acutely incarcerated femoral hernia with intestinal obstruction that was repaired using the totally extra-peritoneal approach. A releasing incision was performed to facilitate reduction of hernia prior to mesh repair. Diagnostic laparoscopy through a separate incision was then performed. Conclusion: This modification of the TEP repair technique for the acutely incarcerated and obstructed femoral hernia serves to minimise potential contamination by keeping the pre-peritoneal plane strictly separate from the intra-peritoneal space.