Mushtaq Bakhtawar, Galantini Gianfranco, Ottaway Jesse, Khalid Urooj, Myers Robert, Perrotti Gabrielle, Bertozzi Danelle
General Surgery, Abington Jefferson Hospital, Philadelphia, USA.
Cureus. 2024 Apr 22;16(4):e58771. doi: 10.7759/cureus.58771. eCollection 2024 Apr.
Femoral hernias carry an increased risk of incarceration. De Garengeot hernia, a rare subset, occurs when the appendix herniates through the femoral canal. Due to its rarity, various surgical approaches have been explored, including isolated groin incisions, combined approaches, and exclusive laparoscopic interventions. This case involved a 58-year-old female diagnosed with a De Garengeot hernia and nonperforated acute appendicitis, managed through a combined laparoscopic and an inguinal approach, and underwent laparoscopic appendectomy and open repair of femoral hernia using a biologic mesh. In this case, the combined approaches facilitated a successful hernia repair and appendectomy while enabling a swift recovery. This case highlights the effectiveness of the combined minimally invasive and inguinal approach in optimizing outcomes for patients with De Garengeot hernia.
股疝发生嵌顿的风险增加。德加朗若疝是一种罕见的类型，当阑尾经股管疝出时发生。由于其罕见性，人们探索了各种手术方法，包括单纯腹股沟切口、联合手术方法以及单纯腹腔镜手术。本病例为一名58岁女性，诊断为德加朗若疝合并非穿孔性急性阑尾炎，通过腹腔镜与腹股沟联合手术方法进行治疗，接受了腹腔镜阑尾切除术，并使用生物补片对股疝进行开放修补。在本病例中，联合手术方法有助于成功进行疝修补和阑尾切除，同时实现快速康复。本病例突出了微创与腹股沟联合手术方法在优化德加朗若疝患者治疗效果方面的有效性。
