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Title: Totally extra-peritoneal repair for acute incarcerated femoral hernia with intestinal obstruction
Authors: Kim G.
Yan So J.B. 
Shabbir A. 
Keywords: Case report
Femoral hernia
Totally extra-peritoneal repair
Issue Date: 17-Jan-2017
Publisher: Elsevier Ltd
Citation: Kim G., Yan So J.B., Shabbir A. (2017-01-17). Totally extra-peritoneal repair for acute incarcerated femoral hernia with intestinal obstruction. International Journal of Surgery Case Reports 32 : 16-18. ScholarBank@NUS Repository.
Abstract: Introduction Femoral hernias frequently present with incarceration, resulting in obstruction and strangulation. Laparoscopic groin hernia repairs have been shown in the elective setting to be an effective alternative to open repair. Acute incarceration of groin hernia with obstruction, though previously seen as a relative contraindication, has been increasingly repaired with minimally invasive techniques, with the potential benefit of avoiding the morbidity associated with a laparotomy. Presentation of case and discussion We describe a case of an acutely incarcerated femoral hernia with intestinal obstruction that was repaired using the totally extra-peritoneal approach. A releasing incision was performed to facilitate reduction of hernia prior to mesh repair. Diagnostic laparoscopy through a separate incision was then performed. Conclusion This modification of the TEP repair technique for the acutely incarcerated and obstructed femoral hernia serves to minimise potential contamination by keeping the pre-peritoneal plane strictly separate from the intra-peritoneal space. � 2017
Source Title: International Journal of Surgery Case Reports
ISSN: 22102612
DOI: 10.1016/j.ijscr.2017.01.034
Appears in Collections:Staff Publications

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