A Case of de Garengeot Hernia Treated Laparoscopically Using an Anterior Approach

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  • Tsuchiya Satoshi
    Department of Surgery, Tokorozawa Central Hospital Department of Surgery, National Defense Medical College
  • Ueno Hideki
    Department of Surgery, National Defense Medical College
  • Matsumoto Atsushi
    Department of Surgery, Tokorozawa Central Hospital
  • Tsujimoto Hironori
    Department of Surgery, Tokorozawa Central Hospital Department of Surgery, National Defense Medical College

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Other Title
  • 腹腔鏡と鼠径部切開法との併用で診断・治療し得たde Garengeot Herniaの1例
  • フククウキョウ ト ソケイブ セッカイホウ ト ノ ヘイヨウ デ シンダン ・ チリョウ シエタ de Garengeot Hernia ノ 1レイ

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Abstract

<p>The patient was a woman in her 60s who was admitted to our hospital because of a bulging in her right inguinal area. Computed tomography showed a tumor–like mass extending from the abdominal cavity to the right femoral area, and we diagnosed her as having an incarcerated femoral hernia on the righthand side. She underwent elective surgery because she was not exhibiting any symptoms of pain or bowel obstruction. Laparoscopic observation revealed that the appendix had fallen into the righthand femoral ring, which was diagnosed as a de Garengeot hernia. Since the incarcerated appendix had strongly adhered to the hernia sac and was not released by traction and transcutaneous compression, we relieved the hernia orifice by additionally performing an inguinal incision, which succeeded in releasing the hernia sac. We then performed a laparoscopic appendectomy, after which we applied a transabdominal preperitoneal approach. The patient’s postoperative course was good, and she was discharged on the third postoperative day. A laparoscopic approach for femoral hernias is considered to be useful for treatment and diagnosis.</p>

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