Laparoscopic Transabdominal Preperitoneal Repair of De Garengeot Hernia: A Case Report

De Garengeot hernia is a rare type of femoral hernia in which the appendix is contained within the hernial sac. Due to its rarity, there is limited evidence regarding its optimal surgical approach. Twenty-five reports of repair using the laparoscopic transabdominal preperitoneal (TAPP) technique hav...

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Main Author: Ryan Ward
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-04-01
Series:World Journal of Colorectal Surgery
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Online Access:https://journals.lww.com/wjcs/fulltext/2023/12020/laparoscopic_transabdominal_preperitoneal_repair.5.aspx
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author Ryan Ward
author_facet Ryan Ward
author_sort Ryan Ward
collection DOAJ
description De Garengeot hernia is a rare type of femoral hernia in which the appendix is contained within the hernial sac. Due to its rarity, there is limited evidence regarding its optimal surgical approach. Twenty-five reports of repair using the laparoscopic transabdominal preperitoneal (TAPP) technique have been identified; however, there is a lack of consensus pertaining to preoperative diagnosis and whether concurrent appendicectomy is performed. In addition, there is debate over the use of a covering mesh. A 34-year-old woman presented with a 5-week history of pain in the right groin. On examination, an irreducible, tender mass was identified in the groin. A computed tomography scan illustrated a right femoral hernia containing the appendix, demonstrating features of acute uncomplicated appendicitis. The patient underwent laparoscopic TAPP repair with mesh plus appendicectomy and made an uncomplicated recovery. Here, we present laparoscopic TAPP repair with mesh plus appendicectomy as a safe and feasible surgical method for managing De Garengeot hernia with concurrent uncomplicated appendicitis.
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spelling doaj-art-b187a00a00d049a8889bd0246a9acec02025-08-20T03:46:49ZengWolters Kluwer Medknow PublicationsWorld Journal of Colorectal Surgery1941-82132023-04-01122515310.4103/wjcs.wjcs_23_23Laparoscopic Transabdominal Preperitoneal Repair of De Garengeot Hernia: A Case ReportRyan WardDe Garengeot hernia is a rare type of femoral hernia in which the appendix is contained within the hernial sac. Due to its rarity, there is limited evidence regarding its optimal surgical approach. Twenty-five reports of repair using the laparoscopic transabdominal preperitoneal (TAPP) technique have been identified; however, there is a lack of consensus pertaining to preoperative diagnosis and whether concurrent appendicectomy is performed. In addition, there is debate over the use of a covering mesh. A 34-year-old woman presented with a 5-week history of pain in the right groin. On examination, an irreducible, tender mass was identified in the groin. A computed tomography scan illustrated a right femoral hernia containing the appendix, demonstrating features of acute uncomplicated appendicitis. The patient underwent laparoscopic TAPP repair with mesh plus appendicectomy and made an uncomplicated recovery. Here, we present laparoscopic TAPP repair with mesh plus appendicectomy as a safe and feasible surgical method for managing De Garengeot hernia with concurrent uncomplicated appendicitis.https://journals.lww.com/wjcs/fulltext/2023/12020/laparoscopic_transabdominal_preperitoneal_repair.5.aspxde garengeot hernia; femoral hernia appendix; transabdominal preperitoneal hernia repair (tapp)
spellingShingle Ryan Ward
Laparoscopic Transabdominal Preperitoneal Repair of De Garengeot Hernia: A Case Report
World Journal of Colorectal Surgery
de garengeot hernia; femoral hernia appendix; transabdominal preperitoneal hernia repair (tapp)
title Laparoscopic Transabdominal Preperitoneal Repair of De Garengeot Hernia: A Case Report
title_full Laparoscopic Transabdominal Preperitoneal Repair of De Garengeot Hernia: A Case Report
title_fullStr Laparoscopic Transabdominal Preperitoneal Repair of De Garengeot Hernia: A Case Report
title_full_unstemmed Laparoscopic Transabdominal Preperitoneal Repair of De Garengeot Hernia: A Case Report
title_short Laparoscopic Transabdominal Preperitoneal Repair of De Garengeot Hernia: A Case Report
title_sort laparoscopic transabdominal preperitoneal repair of de garengeot hernia a case report
topic de garengeot hernia; femoral hernia appendix; transabdominal preperitoneal hernia repair (tapp)
url https://journals.lww.com/wjcs/fulltext/2023/12020/laparoscopic_transabdominal_preperitoneal_repair.5.aspx
work_keys_str_mv AT ryanward laparoscopictransabdominalpreperitonealrepairofdegarengeotherniaacasereport