Laparoscopic repair of femoral hernia

Yang, Xuefei; Liu, Jialin

doi:10.21037/atm.2016.09.31

Cited by 6 publications

(6 citation statements)

References 6 publications

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“…As compared to TAPP (Laparoscopic Transabdominal PrePeritoneal), TEP has the advantage of not entering the peritoneal cavity and therefore reducing abdominal viscera lesions, especially in patients with intra-abdominal adherence. However, some surgeons avoid or contraindicate the TEP and even the TAPP approach in patients with previous lower abdominal operations because of the difficulty to dissect the preperitoneal space and to prevent intra-abdominal organ injuries 22 , 33 , 34 .…”

Section: Discussionmentioning

confidence: 99%

Femoral Hernia: Uncommon, but Associated With Potentially Severe Complications

Coelho

Hajar

Moreira

et al. 2021

ABCD, arq. bras. cir. dig.

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Background: Although the laparoscopic access is becoming the preferable treatment for femoral hernia, there are only few studies on this important subject. Aim: To assess the outcomes of the totally extraperitoneal laparoscopic (TEP) access in the treatment of femoral hernia. Methods: Data of 62 patients with femoral hernia who underwent herniorrhaphy were retrospectively reviewed. The diagnosis of femoral hernia was established by clinical and/or imaging exams in 55 patients and by laparoscopic findings in seven. Results: There were 55 (88.7%) females and 7 (11.3%) males, with female to male ratio of 8:1. The mean age was of 58.9±15.9 years, ranging from 22 to 92 years. Most patients (n=53; 85.5%) had single hernia and the remaining (n=9; 14.5%) bilateral, making a total of 71 hernias operated. Prior lower abdominal operations were recorded in 21 (33.9%) patients. Conversion to laparoscopic transabdominal preperitoneal procedure was performed in four (6.5%). Open herniorrhaphy was needed in two (3.2%), one with spontaneous enterocutaneous fistula in the groin region (Richter’s hernia) and the another with incidental perforation of the adjacent small bowel that occurred during dissection of hernia sac. There was no mortality. Conclusion: Femoral hernia is uncommon, and it may be associated with potentially severe complications. Most femoral hernias may be successfully treated with totally extraperitoneal laparoscopic access, with low conversion and complication rates.

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Section: Discussionmentioning

confidence: 99%

Femoral Hernia: Uncommon, but Associated With Potentially Severe Complications

Coelho

Hajar

Moreira

et al. 2021

ABCD, arq. bras. cir. dig.

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“…Femoral hernia is also repaired by laparoscopy in adults [14]. As a result of wide defects of adult's femoral region, massive dissection and graft use is needed.…”

Section: Discussionmentioning

confidence: 99%

An innovative use of PIRS technique for pediatric femoral hernia: report of 2 cases

et al. 2022

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Background Femoral hernia is very rare in children. Surgical intervention is necessary for treatment. There are many different surgical methods explained before. Laparoscopic single port repair technique is not reported before. Case presentation A 2.5-year-old girl with left femoral hernia and a 5.5-year-old boy with a right femoral hernia were presented to the hospital with bulging on the groin. Using a 5-mm telescope with optical forceps, the defects of patients were repaired with percutaneous ring suturing technique via spinal needle without excision of the lipoma. No complications developed on the patients in 12 months follow-up. Conclusion Laparoscopic single port needle assisted repair is a safe and feasible method repairing femoral hernia and excision of the lipoma should be kept in mind to avoid possible recurrences.

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“…Minor complications include wound infections and hematoma, ecchymosis, urinary retention, recurrences, hydrocele, nerve cuts, and nerve compression. Major complications that might occur include hemorrhage, vas deferens cuts in men, testicular atrophy, intestinal or bladder injuries [ 10 ]. In our case, no postoperative complication was observed.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic transabdominal preperitoneal repair of strangulated femoral hernia: Superiority of an unusual emergency surgical approach due to a case

Kafadar

Gök

2018

Annals of Medicine and Surgery

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IntroductionInguinal hernia repair is one of the most common operations of general surgery. In order to avoid complicated and urgent cases, performing such operations electively is generally accepted. Otherwise, unforeseen emergency surgical situations accompanied by incarceration and strangulation may occur.Case presentationIn this article, we present a 45-year-old female patient with strangulated femoral hernia repair that we performed using the laparoscopic transabdominal preperitoneal method, unlike other conventional methods.DiscussionEarly diagnosis and elective surgical treatment have an important role in hernia surgery, especially due to increased morbidity and mortality. Laparoscopic inguinal hernia repair has developed in the recent years as a prominent method and nowadays it is performed much easier than the open method even in urgent and challenging cases.ConclusionThe transabdominal preperitoneal method has superiority over the conventional method in terms of ensuring that intestinal loop is visible during the strangulated femoral hernia repair and that the feeding of the intestine is intact.

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Laparoscopic repair of femoral hernia

Cited by 6 publications

References 6 publications

Femoral Hernia: Uncommon, but Associated With Potentially Severe Complications

Femoral Hernia: Uncommon, but Associated With Potentially Severe Complications

An innovative use of PIRS technique for pediatric femoral hernia: report of 2 cases

Laparoscopic transabdominal preperitoneal repair of strangulated femoral hernia: Superiority of an unusual emergency surgical approach due to a case

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