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Tytuł:
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Management of an obstructed recurrent inguinal hernia using a hybrid method: a case report.
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Autorzy:
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Ooe Y; Department of Surgery, Takaoka City Hospital, 4-1 Takaramachi, Takaoka, Toyama, 933-8550, Japan.
Horikawa N; Department of Surgery, Takaoka City Hospital, 4-1 Takaramachi, Takaoka, Toyama, 933-8550, Japan. .
Miyanaga S; Department of Surgery, Takaoka City Hospital, 4-1 Takaramachi, Takaoka, Toyama, 933-8550, Japan.
Kobiyama R; Department of Surgery, Takaoka City Hospital, 4-1 Takaramachi, Takaoka, Toyama, 933-8550, Japan.
Iida Y; Department of Surgery, Takaoka City Hospital, 4-1 Takaramachi, Takaoka, Toyama, 933-8550, Japan.
Kanamoto A; Department of Surgery, Takaoka City Hospital, 4-1 Takaramachi, Takaoka, Toyama, 933-8550, Japan.
Fukushima W; Department of Surgery, Takaoka City Hospital, 4-1 Takaramachi, Takaoka, Toyama, 933-8550, Japan.
Yabushita K; Department of Surgery, Takaoka City Hospital, 4-1 Takaramachi, Takaoka, Toyama, 933-8550, Japan.
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Źródło:
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BMC surgery [BMC Surg] 2021 Jan 21; Vol. 21 (1), pp. 48. Date of Electronic Publication: 2021 Jan 21.
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Typ publikacji:
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Case Reports; Journal Article
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Język:
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English
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Imprint Name(s):
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Original Publication: London : BioMed Central, [2001-
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MeSH Terms:
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Hernia, Inguinal*/diagnostic imaging
Hernia, Inguinal*/surgery
Laparoscopy*
Herniorrhaphy/*methods
Intestinal Obstruction/*surgery
Aged ; Herniorrhaphy/adverse effects ; Humans ; Intestinal Obstruction/etiology ; Male ; Recurrence ; Surgical Mesh ; Tomography, X-Ray Computed ; Treatment Outcome
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References:
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World J Emerg Surg. 2013 Dec 01;8(1):50. (PMID: 24289453)
Surg Endosc. 2011 Sep;25(9):2773-843. (PMID: 21751060)
Dan Med J. 2014 May;61(5):B4846. (PMID: 24814748)
World J Surg. 2016 Oct;40(10):2348-52. (PMID: 27150604)
Hernia. 2018 Feb;22(1):1-165. (PMID: 29330835)
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Contributed Indexing:
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Keywords: Hybrid surgery; Incarcerated inguinal hernia; Recurrent inguinal hernia
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Entry Date(s):
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Date Created: 20210122 Date Completed: 20210129 Latest Revision: 20210129
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Update Code:
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20240105
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PubMed Central ID:
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PMC7819205
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DOI:
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10.1186/s12893-021-01069-7
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PMID:
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33478413
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Background: For recurrent incarcerated and strangulated hernias, the optimal treatment strategy for each case is needed.
Case Presentation: The study patient was a 70-year-old man. TAPP repair was performed for a left inguinal hernia (JHS Classification II-1) 7 years earlier. The patient experienced transient pain and swelling of the left inguinal region for 5 months and visited our emergency department for abdominal pain and vomiting. A CT scan showed a recurrent left inguinal hernia and small bowel incarceration, and emergency surgery was performed. Laparoscopic observation of the abdominal cavity revealed recurrent left inguinal hernia (Rec II-1) with small bowel incarceration. The small bowel was reduced after pneumoperitoneum, and no findings suggested intestinal tract necrosis. Adhesions around the herniated sac were dissected using an extraperitoneal approach and then shifted to mesh plug repair. No perioperative complications or hernia recurrence were observed in the 10 months after the surgery.
Conclusions: This report describes a novel, successful surgical treatment for a recurrent incarcerated hernia. In our patient, we could easily perform dissection and understand the positional relationship by hybrid surgery using the TEP method. Additionally, in patients with incarcerated hernias, we believe that performing hybrid surgery by combining the TEP method would be useful because bowel dilation caused by intestinal obstruction would not disturb the operative field.
