Minimally invasive management of de Garengeot hernia with staged robotic hernia repair

BMJ Case Reports - Tập 14 Số 8 - Trang e242569 - 2021
Ryan B. Cohen1,2, Teena Nerwal1,2, Stephen Winikoff2, Matthew O. Hubbard1,2
1Surgery, Albert Einstein Medical Center, Philadelphia, Pennsylvania, USA
2Surgery, Einstein Medical Center Montgomery, East Norriton, Pennsylvania, USA

Tóm tắt

De Garengeot hernia is a rare phenomenon describing the migration of the appendix into a femoral hernia sac. Many repair strategies have been described although an open inguinal approach with suture repair is the most common technique. Despite strong evidence that mesh limits recurrence, most forgo mesh use in the presence of appendicitis for fear of contamination. We report a case in a 68-year-old man managed completely with minimally invasive strategies. We performed a staged laparoscopic appendectomy followed by robotic hernia repair with polypropylene mesh. This is the first described two-stage minimally invasive approach and the first report demonstrating the feasibility of robotic hernia repair in the setting of de Garengeot hernia. It is our opinion that using a staged approach may encourage mesh repair by minimising the risk of implant contamination. Furthermore, we believe a fully minimally invasive technique may result in improved outcomes.

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BMJ Case Reports

Tập 14 Số 8

e242569

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