Femoral Hernia constitutes a small percentage of groin herniae,but have always been associated with significantly high morbidity.This is partly due to the difficulties in diagnosing the hernia and also due to its propensity for incarceration because of its anatomy. We report a rare case of De Garengeot Hernia which is the herniation of the appendix into a femoral hernia.While this is rare in itself, acute appendicitis in a strangulated femoral hernia is even more uncommon.

BACKGROUNDLaparoscopic surgery has undergone several modifications since its advent. There has been a shift from a standard multiport approach to more minimalistic approaches. SILS is a major step in this evolutionary process. We present our experience with SILS using conventional laparoscopic instruments and without the need for a SILS port.