Department of General Surgery, Inonu University Medical Faculty, Malatya, Turkey.
Hernia. 2013 Feb;17(1):121-3. doi: 10.1007/s10029-011-0820-2. Epub 2011 May 3.
An atypical femoral hernia developing through the lacunar ligament is called Laugier's hernia. Preoperative diagnosis of these atypical hernias is very difficult because of their rarity and similar clinical appearance to conventional femoral hernias. A 52-year-old female presented with right groin swelling. During laparoscopic totally extraperitoneal (TEP) inguinal hernia repair, a hernia sac through an opening in the lacunar ligament was diagnosed and repaired with mesh covering the inguinal floor. The surgeon should be alert to the possibility of an atypical femoral hernia when examining patients with inguinal hernias. A laparoscopic approach should be chosen instead of a conventional approach for the treatment of femoral hernias because of its high diagnostic and therapeutic capacity for all types of femoral hernia, including Laugier's.
通过腔隙韧带发展的非典型股疝称为 Laugier 疝。由于这些非典型疝的罕见性和与传统股疝相似的临床特征，术前诊断非常困难。一位 52 岁女性出现右侧腹股沟肿胀。在腹腔镜完全腹膜外（TEP）腹股沟疝修补术中，诊断为通过腔隙韧带开口的疝囊，并使用覆盖腹股沟底部的网片进行修补。当检查腹股沟疝患者时，外科医生应该警惕非典型股疝的可能性。由于腹腔镜方法对所有类型的股疝（包括 Laugier 疝）具有较高的诊断和治疗能力，因此应选择腹腔镜方法而不是传统方法来治疗股疝。
