Laparoscopic repair of an irreducible femoral hernia containing an epiploic appendage of the sigmoid colon. Issue 2 (21st May 2019)

• Record Type: Journal Article
• Authors: Soeta, Nobutoshi; Endo, Kotaro; Oshibe, Ikuro; Higuchi, Mitsunori; Saito, Takuro
• Is Part Of: Asian journal of endoscopic surgery. Volume 13:Issue 2(2020)
• Page Start: 231
• Page End: 233
• Publication Date: 2019-05-21
• Subjects: epiploic appendage -- femoral hernia -- laparoscopic surgery; Endoscopic surgery -- Periodicals; Endoscopic surgery -- Asia -- Periodicals; 617.05705
• DOI: 10.1111/ases.12711
• Languages: English
• ISSNs: 1758-5902

Abstract

Abstract: Here we present the first report of laparoscopic repair of an irreducible femoral hernia containing an epiploic appendage of the sigmoid colon. A 73‐year‐old woman presented with a 1‐week history of a left groin mass below the inguinal ligament with no abdominal symptoms. Abdominal CT demonstrated a 21 × 18‐mm oval‐shaped, fat‐dense structure in the left groin area. The hernia contents were considered potentially associated with the omentum; thus, a left irreducible femoral hernia was diagnosed. Elective laparoscopic surgery revealed an irreducible femoral hernia containing an epiploic appendage of the sigmoid colon, which was then reduced. The reduced epiploic appendage showed no ischemic changes, inflammation, torsion, or swelling, obviating the need for resection. The femoral hernia was laparoscopically repaired via a transabdominal preperitoneal approach with mesh. The patient's postoperative recovery was uneventful, and no recurrence of the femoral hernia was noted at the 6‐month follow‐up.