Laparoscopic repair of concurrent direct and indirect inguinal, femoral, and obturator hernias on the same side: A case report

Masahiro Fujita, Masaya Nakauchi, Masamoto Iida, Keisuke Koide, Seiji Inoue, Ai Goto, Kazumitsu Suzuki, Yusuke Umeki, Akiko Serizawa, Shingo Akimoto, Yusuke Watanabe, Tsuyoshi Tanaka, Susumu Shibasaki, Kazuki Inaba, Ichiro Uyama, Koichi Suda

Research output: Contribution to journalArticlepeer-review

Abstract

Concurrent direct and indirect inguinal, femoral, and obturator hernias are rare. This case report describes a rare case treated using the laparoscopic approach. A 68-year-old female patient presented with a moving left inguinal lump and pain. Physical examination and abdominal computed tomography scan revealed the coexistence of a left inguinal hernia or Nuck canal hydrocele and a left femoral hernia. The patient underwent laparoscopic transabdominal preperitoneal repair, and all four orifices were covered with one mesh. The patient was discharged on the second postoperative day without any complications. The concurrent presence of four hernias on the same side is rare and has not been previously reported. The laparoscopic approach is useful in such cases because it allows visualization of multiple hernia orifices from the intra-abdominal cavity.

Original languageEnglish
Article numbere13326
JournalAsian journal of endoscopic surgery
Volume17
Issue number3
DOIs
Publication statusPublished - 07-2024

All Science Journal Classification (ASJC) codes

  • Surgery
  • Gastroenterology

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