A Novel Approach to Managing a Strangulated De Garengeot's Hernia

Am Surg. 2021 Jan;87(1):83-85. doi: 10.1177/0003134820943552. Epub 2020 Aug 17.

Abstract

De Garengeot's hernia, the presence of an incarcerated vermiform appendix within a femoral hernia, is a rare general surgery emergency that predominantly affects elderly female patients. Due to its rarity, there is significant variation in surgical technique; however, most case reports favor an open approach. Here we present a case of a De Garengeot's hernia with a unique hybrid open and laparoscopic repair, utilizing the hernia defect as a port site. We will also review the relevant literature.

Keywords: appendicitis; de garengeot’s hernia; hybrid open femoral hernia repair; laparoscopic appendectomy.

Publication types

  • Case Reports

MeSH terms

  • Aged, 80 and over
  • Appendicitis / diagnosis
  • Appendicitis / etiology*
  • Appendicitis / surgery*
  • Female
  • Hernia, Femoral / complications*
  • Hernia, Femoral / diagnosis
  • Hernia, Femoral / surgery*
  • Herniorrhaphy / methods*
  • Humans
  • Laparoscopy / methods