A case of incarcerated femoral hernia treated with laparoscopic hernia repair by totally extraperitoneal approach Shota AMANO 1 , Shigeo NINOMIYA 1 , Tadashi OGAWA 1 , Masafumi INOMATA 2 , Katsuhiro SHIMODA 1 1Department of Surgery, Cosmos Hospital 2Department of Gastroenterological and Pediatric Surgery, Oita University Keyword: 腹膜外腔アプローチ , 内視鏡下手術 , 大腿ヘルニア嵌頓 pp.497-502
Published Date 2019/11/15
DOI https://doi.org/10.11477/mf.4426200751
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 Reports of incarcerated femoral hernias treated with laparoscopic surgery are rare. We report such case treated laparoscopically with totally extraperitoneal approach. An 84-year-old man visited our hospital complaining of pain and bulging of the left groin region. The incarcerated hernia in the left groin lesion could not be reduced manually. Based on abdominal computed tomography, a diagnosis of left femoral hernia whose content was fat tissue was made. Since there were no clear findings of intestinal obstruction and peritonitis, elective laparoscopic hernia repair by totally extraperitoneal approach was performed. Laparoscopy showed that the hernia sac had herniated into the left femoral canal. However, we were able to release the hernia sac using laparoscopic forceps. The femoral canal was then covered by 3D MAX mesh. Postoperative course was uneventful, and the patient was discharged from the hospital, 4 days after surgery. There is no sign of recurrence or mesh-related infection, 5 months after surgery. Laparoscopic hernia repair by totally extraperitoneal approach is useful for both diagnosis and treatment of incarcerated femoral hernia.

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