Laparoscopic approach as a safe and effective option for incarcerated femoral hernias

Laparoscopic approach as a safe and effective option for incarcerated femoral hernias

Introduction The laparoscopic approach for elective femoral herniorrhaphy is well established. However, femoral hernias often present as incarcerations and require emergency repair surgery, mainly using the open approach. This study aimed to retrospectively analyze the efficacy of the laparoscopic a...

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Published in:Asian journal of endoscopic surgery Vol. 15; no. 2; pp. 328 - 334
Main Authors: Okazaki, Ryo, Poudel, Saseem, Hane, Yuma, Saito, Takahiro, Muto, Jun, Syoji, Yasuhito, Hase, Ryunosuke, Senmaru, Naoto, Hirano, Satoshi
Format: Journal Article
Language:English
Published: Kyoto, Japan John Wiley & Sons Australia, Ltd 01-04-2022
Wiley Subscription Services, Inc
Subjects:
femoral
hernia
Hernia, Femoral - surgery
Hernia, Inguinal - surgery
Hernias
Herniorrhaphy - methods
Humans
Laparoscopy
Laparoscopy - methods
postoperative complications
Retrospective Studies
Surgery
Surgical Mesh
laparoscopy
postoperative complications
femoral
hernia
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Summary:Introduction The laparoscopic approach for elective femoral herniorrhaphy is well established. However, femoral hernias often present as incarcerations and require emergency repair surgery, mainly using the open approach. This study aimed to retrospectively analyze the efficacy of the laparoscopic approach for incarcerated femoral hernias. Methods Data of patients who underwent emergency surgery for incarcerated femoral hernia between April 2016 and August 2021 were retrospectively analyzed. Laparoscopy was performed whenever possible; however, conversion to an open approach remained a fallback option for when laparoscopic repair was not possible. In laparoscopic repair, incarcerated femoral hernias reduced using traction, water pressure, and preperitoneal methods. Data of patients who underwent open repair and laparoscopy were then compared. Results During the observation period, 20 patients underwent emergency surgery for incarcerated femoral hernia. Eleven patients subsequently underwent repair using a laparoscopic approach, and eight underwent repair using an open approach. Only one patient underwent intestinal resection without hernia repair due to perforated bowel. Operative time for laparoscopic repair was longer. Mesh repair was performed in 18 patients. Four patients each in the laparoscopic repair and open group required intestinal resection. Conclusion Incarcerated femoral hernias can be safely repaired using the laparoscopic approach.
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ISSN:1758-5902
1758-5910
DOI:10.1111/ases.13010