关键词: De Garengeot Femoral hernia appendix case report open anterior approach preperitoneal

Mesh : Aged Appendectomy Appendicitis / complications diagnostic imaging surgery Appendix / diagnostic imaging surgery Hernia, Femoral / complications diagnostic imaging surgery Humans Male Tomography, X-Ray Computed

来  源:   DOI:10.1177/03000605211028409   PDF(Sci-hub)   PDF(Pubmed)

Abstract:
A De Garengeot hernia is a rare type of femoral hernia that involves a vermiform appendix within a femoral hernia sac. Because of the rarity of this disease, a standard surgical procedure has not been established, and most cases are diagnosed intraoperatively. Preoperative diagnosis of a De Garengeot hernia is quite difficult. Computed tomography is the most sensitive and specific technique among the available imaging tests for preoperative diagnosis of a De Garengeot hernia. Although a standard surgical procedure is lacking, prompt surgery has become the consensus. The most common procedure is the open anterior approach; this allows exploration of the hernia sac and rapid treatment of its contents, routine appendectomy through a single incision, and preperitoneal repair of the femoral hernia.
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