A Case of Laparoscopic Repair of a Femoral Hernia with an Incarcerated Appendix

Yoshida, Rika; Matsukuma, Akito; Maruyama, Seiji; Kohnoe, Shunji

doi:10.3919/jjsa.78.156

Cited by 7 publications

(2 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Emergency surgery was performed in 88% of the patients. The McVay procedure was most commonly performed (43%) [ 10 , 13 , 14 , 16 , 17 , 19 , 21 , 23 , 29 , 30 , 34 , 35 , 37 , 44 ], followed by the mesh and plug [ 12 , 18 , 22 , 25 , 27 , 33 ], Kugel patch [ 28 , 40 , 45 , 46 ], suture of the femoral canal techniques [ 11 , 15 , 24 , 47 ], and laparoscopic procedures including the transabdominal preperitoneal [ 39 , 43 ] and totally extraperitoneal approaches [ 26 , 32 ]. The advantages of the laparoscopic approach lie in the ability to explore the content of the hernia and reduce the incarcerated organs under direct vision.…”

Section: Discussionmentioning

confidence: 99%

“…Increased WBC and CRP levels could be markers to estimate the severity of appendiceal inflammation and/or abscess formation. Correct preoperative diagnosis was made in 47% of the patients by CT and/or ultrasonography (US) [13,17,20,24,26,29,30,32,33,[37][38][39][40][41][42][43][44][45][46]. Emergency surgery was performed in 88% of the patients.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Clinicopathological characteristics of De Garengeot hernia: six case reports and literature review

et al. 2021

View full text Add to dashboard Cite

Background De Garengeot hernia, wherein the appendix is present within a femoral hernia, is a rare disease; therefore, the clinicopathological features remain to be clarified. This study aimed to reveal the clinicopathological characteristics of De Garengeot hernia. Case presentation Six patients who underwent appendectomy and herniorrhaphy between 1999 and 2018 were included. The incidence of De Garengeot hernia was 3.2% among the 182 femoral hernias that required surgery during the study period. The median age of the patients was 78 years, and five patients were women. The median body mass index was 20.1. Patients frequently had fever or elevated CRP level. Preoperative diagnoses based on computed tomography were femoral (n = 3), inguinal (n = 2), and De Garengeot (n = 1) hernias. Emergency and elective surgeries were performed in four and two patients, respectively. Histopathological examination of the resected appendix showed gangrenous appendicitis (n = 3), perforated appendicitis (n = 2), and appendiceal ischemia (n = 1) in the patients. Postoperatively, one patient developed sepsis. Conclusions Preoperative diagnosis of De Garengeot hernia is often difficult, and patients frequently have severe appendicitis. Precise diagnosis is required, and emergency surgery should be considered depending on the severity of appendicitis.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Clinicopathological characteristics of De Garengeot hernia: six case reports and literature review

et al. 2021

View full text Add to dashboard Cite

show abstract

The uncommon preoperative diagnosis of a De Garengeot hernia and its more novel laparoscopic treatment

Sylvester,

Singh,

Haque

2024

BMJ Case Rep

View full text Add to dashboard Cite

This case report involves an elderly woman who presented with a 3-day history of a tender groin swelling on her right side. Her admission bloods were fairly unremarkable, but a preoperative ultrasound impressively confirmed a femoral hernia containing the appendix (De Garengeot hernia) and she underwent emergency laparoscopic hernioplasty with a prosthetic mesh and appendicectomy. The procedure found an incarcerated hernia with a strangulated tip of the appendix that unexpectedly separated upon gentle manipulation and histopathology revealed appendiceal inflammation. There were no complications with the patient’s recovery and she was discharged 2 days after surgery.

show abstract

A Case of De Garengeot Hernia and Perforated Appendicitis Diagnosed by Ultrasonography

Imataki

Miyake

Nagai

et al. 2021

Nihon Rinsho Geka Gakkai Zasshi (J Jpn Surg Assoc)

View full text Add to dashboard Cite

A 71-year-old man was admitted to our hospital with a hard, irreducible, and enlarged right inguinal mass with a diameter of 1-cm. Ultrasonography (US) revealed a saccular structure 2.5-cm in diameter that stemmed from the abdominal cavity containing a tubular organ with a blind tip, net-like area, and anechoic area ; these features were identified as the appendix, greater omentum, and ascites, respectively. US also revealed a wall deficit in the appendix, while color Doppler imaging showed an absence of blood flow at the distal appendix. Perforated appendicitis was suspected, and surgery was performed 25-hours after clinical presentation. Surgery revealed an appendiceal perforation and abscess in the hernial sac, which were treated via appendectomy followed by McVay repair. Our case findings reveal that US is a useful tool for diagnosing De Garengeot hernia and identifying perforated appendicitis.

show abstract

A Case of Laparoscopic Repair of a Femoral Hernia with an Incarcerated Appendix

Cited by 7 publications

References 2 publications

Clinicopathological characteristics of De Garengeot hernia: six case reports and literature review

Clinicopathological characteristics of De Garengeot hernia: six case reports and literature review

The uncommon preoperative diagnosis of a De Garengeot hernia and its more novel laparoscopic treatment

A Case of De Garengeot Hernia and Perforated Appendicitis Diagnosed by Ultrasonography

Contact Info

Product

Resources

About