Department of Surgery, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Malaysia
Department of Surgery, Duchess of Kent Hospital, Sandakan, Malaysia.
BMJ Case Rep. 2021 Apr 16;14(4):e240557. doi: 10.1136/bcr-2020-240557.
De Garengeot hernia is a rare finding of the vermiform appendix inside a femoral hernia sac. We report this occurrence in a 73-year-old woman who presented in the acute setting. There are no standardised surgical approaches and many different techniques have been described in case reports in the literature. We conducted a literature review of and found a total of 113 cases with addition of our case 114 unique cases were included for analysis. Inguinal incision was most cited (n=89). Concomitant laparotomy was needed in 13 patients, however, the association between type of incision and additional laparotomy was not significant (p>0.05). Laparoscopic surgery alone was performed in eight patients. Nine patients had hybrid surgery. The most common hernia repair was through suture technique with non-absorbable material (n=31). Mesh repair was used in 28 cases. More laparoscopic surgeries were done when the disease was diagnosed preoperatively (7/39, p<0.05).
De Garengeot 疝是一种罕见的阑尾位于股疝囊内的情况。我们报告了一位 73 岁女性的急性发病病例。目前尚无标准化的手术方法，文献中的病例报告中描述了许多不同的技术。我们对文献进行了回顾，共发现了 113 例病例，加上我们的病例，共分析了 114 例独特的病例。腹股沟切口最为常见（n=89）。13 例患者需要同时行剖腹手术，但切口类型与额外剖腹手术之间无显著相关性（p>0.05）。单独行腹腔镜手术的有 8 例。9 例患者行混合手术。最常见的疝修补术是使用不可吸收缝线的缝合技术（n=31）。28 例采用网片修补。术前诊断时更多地采用腹腔镜手术（7/39，p<0.05）。
