World Journal of Laparoscopic Surgery

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VOLUME 12 , ISSUE 3 ( September-December, 2019 ) > List of Articles

CASE REPORT

Femoral Hernioscopy: A Minimally Invasive Procedure to Evaluate Bowel Viability

Shafquat Zaman, Mona Kamal, Peter Waterland

Keywords : Femoral hernia, Hernioscopy, Laparoscopy, Laparotomy

Citation Information : Zaman S, Kamal M, Waterland P. Femoral Hernioscopy: A Minimally Invasive Procedure to Evaluate Bowel Viability. World J Lap Surg 2019; 12 (3):133-134.

DOI: 10.5005/jp-journals-10033-1378

License: CC BY-NC 4.0

Published Online: 12-01-2020

Copyright Statement:  Copyright © 2019; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

We highlight an important surgical technique that can be utilized to prevent unnecessary laparotomies in patients undergoing emergency femoral hernia repair. A 79-year-old female presented to our unit with an increasingly painful left-sided groin swelling. She was subsequently taken to the operation theater for an emergency operation and found to have a spontaneously reduced femoral hernia after induction of anesthesia. Femoral hernioscopy was performed successfully with the patient positioned in a steep Trendelenburg position. This allowed us to perform a diagnostic laparoscopy and assess bowel viability. Consequently, further unnecessary procedures were avoided together with their associated short- and long-term morbidity. Hernioscopy is a safe, feasible, and valuable technique that is potentially underutilized. We feel that this is a cornerstone in the application of minimal access surgery for a common general surgical emergency, and hence further research with application of this technique is required in this field.


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