Minimally Invasive Inside-out Plug and Mesh Placement in an Ipsilateral Concurrent Femoral and Inguinal Hernia Recurrence: A Case Report of Tailored Solution
Andrea Sanna, Gianluca Buzzi, Francesco Bagolini, Barbara Mantovan, Giuseppe Patanè, Simone Targa
Citation Information :
Sanna A, Buzzi G, Bagolini F, Mantovan B, Patanè G, Targa S. Minimally Invasive Inside-out Plug and Mesh Placement in an Ipsilateral Concurrent Femoral and Inguinal Hernia Recurrence: A Case Report of Tailored Solution. World J Lap Surg 2025; 18 (1):48-50.
Aim: This case report aims to highlight a tailored solution in the management of femoral and inguinal concurrent recurrence by laparoscopic approach.
Background: Hernia recurrence is one of the problems in this kind of surgery. Recurrence rates following primary hernia repair range from 0.5 to 15%. Hernia recurrence is more common after primary femoral hernia repair due to higher rates of emergency treatment than inguinal hernia. We present a case of complicated femoral hernia recurrence with concomitant re-recurrence of inguinal hernia that required a tailored solution to restore both hernia recurrences.
Case description: A 66-year-old woman with a medical history of previous treatment for a right groin hernia, its subsequent recurrence, and an open repair for a right femoral hernia. A description of challenge in the diagnosis and treatment of coexisting inguinal and femoral ipsilateral recurrence with a tailored solution.
Conclusion: Laparoscopy is widely recommended in women with a hernia in the groin area because it often presents an unsuspected femoral hernia that was not diagnosed by preoperative examination.
Clinical significance: The presented case report highlights how tailored solutions can be used in complicated anatomical presentations. In particular, an unusual solution was presented to correct the recurrent double defect with the placement of plugs and mesh in a non-standard way.
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