De Garengeot hernia

Jootun, Narotam; Ermerak, Goktug; Robinson, Dennis H.

doi:10.1111/j.1445-2197.2011.05932.x

Cited by 2 publications

(1 citation statement)

References 3 publications

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“…There was no relation between the duration of symptoms and more advanced appendicitis. A common finding was the incarceration and inflammation of the distal part of the appendix, while the remaining, proximal part was unaffected [14, 33, 37, 61]: the entire appendix may also be within the hernia and inflamed [13, 68]. Preoperative diagnoses of subcutaneous emphysema and necrotising fasciitis were also confirmed at surgery [31, 55].…”

Section: Demographics and Clinical Presentationmentioning

confidence: 99%

Treatment of de Garengeot’s hernia: a meta-analysis

Linder

Månsson

2018

Hernia

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Purpose de Garengeot’s hernia is a rare entity in which the appendix is located within a femoral hernia and is almost invariably encountered incarcerated in an emergency setting with concomitant appendicitis. In the literature, there are mostly single-case reports. The purpose of the present study was to perform a review of the literature to study the incidence, pathogenesis, demographics, clinical presentation, laboratory and radiological investigations, differential diagnosis, delay in diagnosis and treatment, operative findings, surgical technique, histological findings, the postoperative course, use of antibiotics, and complications regarding de Garengeot’s hernia. Methods A literature search was performed through PubMed with the following search terms, single or in combination: Garengeot, femoral hernia, and appendicitis. Additional references were also found within the articles, and two patients from Uppsala University Hospital were added. Results Between 1981 and 2016, 70 publications were identified, and with the additional two patients, the present series comprised 90 patients There were 75 women (median age 73.0 years) and 15 men (median age 78.0 years). On examination, an inguinal mass was found in 87 patients (97%), which was painful and the cause of primary complaint in 67 patients (74%): the median duration of symptoms was 3 days. Radiological investigations or ultrasound were performed in 67 patients (74%); computed tomography was the most accurate with a positive diagnosis in 23/34 patients. Appendicitis was found in 76 patients, gangrenous in 23, and perforated in 9. The surgical approach was inguinal in 76 patients, including 15 with concomitant laparotomy. The preperitoneal route was chosen in six patients, and laparoscopy alone in four patients. A mesh/plug was used in 22 patients (7/22 normal appendix) and suture repair in 59 (4/59 normal appendix: p < 0.01). Complications were analysed in 79 patients and occurred in 11%. There was no mortality. Conclusions de Garengeot’s hernia is rare, being indistinguishable from an incarcerated femoral hernia in general. A delay in surgery should be avoided but if needed, computed tomography may be used for differential diagnosis. Although there is no standard treatment, mesh material does not appear advisable in the presence of a perforation, and it is beneficial for the surgeons to perform their routine method rather than a specific technique.

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Section: Demographics and Clinical Presentationmentioning

confidence: 99%

Treatment of de Garengeot’s hernia: a meta-analysis

Linder

Månsson

2018

Hernia

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De Garengeot hernia: a rare case in an elderly woman and a review of operative approaches

Zainudin

Hayati

Arumugam³

et al. 2021

BMJ Case Rep

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De Garengeot hernia is a rare finding of the vermiform appendix inside a femoral hernia sac. We report this occurrence in a 73-year-old woman who presented in the acute setting. There are no standardised surgical approaches and many different techniques have been described in case reports in the literature. We conducted a literature review of and found a total of 113 cases with addition of our case 114 unique cases were included for analysis. Inguinal incision was most cited (n=89). Concomitant laparotomy was needed in 13 patients, however, the association between type of incision and additional laparotomy was not significant (p>0.05). Laparoscopic surgery alone was performed in eight patients. Nine patients had hybrid surgery. The most common hernia repair was through suture technique with non-absorbable material (n=31). Mesh repair was used in 28 cases. More laparoscopic surgeries were done when the disease was diagnosed preoperatively (7/39, p<0.05).

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De Garengeot hernia

Cited by 2 publications

References 3 publications

Treatment of de Garengeot’s hernia: a meta-analysis

Treatment of de Garengeot’s hernia: a meta-analysis

De Garengeot hernia: a rare case in an elderly woman and a review of operative approaches

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