Skip to main content
SpringerLink
Log in

Laparoscopic repair of an incarcerated right indirect sliding inguinal hernia involving a retroperitoneal ileum

  • Case Report
  • Published:
Hernia Aims and scope Submit manuscript

Abstract

Introduction

Laparoscopic techniques for the repair of inguinal hernias have become an increasingly popular alternative to open techniques. No clear consensus has emerged as to the best laparoscopic technique, but the body of evidence increasingly favors a total extraperitoneal (TEP) approach.

Results and discussion

We report the case of an adult man with an incarcerated right indirect inguinal sliding hernia involving the first known instance of a retroperitoneal ileum, and the novel use of a laparoscopic combined TEP approach and transabdominal preperitoneal (TAPP) approach to repair his hernia without complications. The literature is reviewed and TEP and TAPP techniques for the treatment of inguinal hernias are discussed and compared.

Conclusion

When faced with an unforeseen anomaly during herniorrhaphy in which improved abdominal visualization is necessary, a surgeon may convert from a TEP to a transabdominal laparoscopic approach safely and effectively.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

References

  1. Bassini E (1887) Nuovo metodo sulla cura radicale dell’ernia inguinale. Arch Soc Ital Chir 4:379–382

    Google Scholar 

  2. Halsted WS (1893) The radical cure of inguinal hernia in the male. Bull Johns Hopkins Hosp 4:17–24

    Google Scholar 

  3. Cheatle GL (1920) An operation for the radical cure of inguinal and femoral hernia. Br Med J 2(3107):68–69

    Article  PubMed  Google Scholar 

  4. Usher FC, Ochsner J, Tuttle LL Jr (1958) Use of marlex mesh in the repair of incisional hernias. Am Surg 24(12):969–974

    PubMed  CAS  Google Scholar 

  5. Lichtenstein IL, Shulman AG, Amid PK, Montllor MM (1989) The tension-free hernioplasty. Am J Surg 157(2):188–193

    Article  PubMed  CAS  Google Scholar 

  6. Hernia Trialists Collaboration EU (2000) Mesh compared with non-mesh methods of open groin hernia repair: systematic review of randomized controlled trials. Br J Surg 87(7):854–859

    Article  Google Scholar 

  7. Ger R, Mishrick A, Hurwitz J, Romero C, Oddsen R (1993) Management of groin hernias by laparoscopy. World J Surg 17(1):46–50

    Article  PubMed  CAS  Google Scholar 

  8. Memon MA, Cooper NJ, Memon B, Memon MI, Abrams KR (2003) Meta-analysis of randomized clinical trials comparing open and laparoscopic inguinal hernia repair. Br J Surg 90(12):1479–1492

    Article  PubMed  CAS  Google Scholar 

  9. Hernia Trialists Collaboration EU (2002) Laparoscopic versus open groin hernia repair: meta-analysis of randomised trials based on individual patient data. Hernia 6(1):2–10

    Article  Google Scholar 

  10. Fitzgibbons RJ Jr, Camps J, Cornet DA, Nguyen NX, Litke BS, Annibali R, Salerno GM (1995) Laparoscopic inguinal herniorrhaphy. Results of a multicenter trial. Ann Surg 221(1):3–13

    Article  PubMed  Google Scholar 

  11. McKernan JB, Laws HL (1993) Laparoscopic repair of inguinal hernias using a totally extraperitoneal prosthetic approach. Surg Endosc 7(1):26–28

    Article  PubMed  CAS  Google Scholar 

  12. Kieturakis MJ (1994) Advances in extraperitoneal dissection and hernia repair. Radcliffe Medical Press, Oxford

    Google Scholar 

  13. Ramshaw BJ, Tucker JG, Mason EM, Duncan TD, Wilson JP, Angood PB, Lucas GW (1995) A comparison of transabdominal preperitoneal (TAPP) and total extraperitoneal approach (TEPA) laparoscopic herniorrhaphies. Am Surg 61(3):279–283

    PubMed  CAS  Google Scholar 

  14. Kakkis JL, Brunicardi FC (1996) Total extraperitoneal laparoscopic hernia repair: a modified technique associated with few complications and a low early recurrence rate. Am Surg 62(10):846–848

    PubMed  CAS  Google Scholar 

  15. Pokorny H, Klingler A, Schmid T, Fortelny R, Hollinsky C, Kawji R, Steiner E, Pernthaler H, Függer R, Scheyer M (2008) Recurrence and complications after laparoscopic versus open inguinal hernia repair: results of a prospective randomized multicenter trial. Hernia 12:385–389

    Article  PubMed  CAS  Google Scholar 

  16. Tucker JG, Wilson RA, Ramshaw BJ, Mason EM, Duncan TD, Lucas GW (1995) Laparoscopic herniorrhaphy: technical concerns in prevention of complications and early recurrence. Am Surg 61(1):36–39

    PubMed  CAS  Google Scholar 

  17. Page US, Foster JH (1965) Sliding indirect inguinal hernia; a simple surgical technique. Northwest Med 64(10):755–757

    PubMed  CAS  Google Scholar 

  18. Koch CA, Grinberg GG, Farley DR (2006) Incidence and risk factors for urinary retention after endoscopic hernia repair. Am J Surg 191(3):381–385

    Article  PubMed  Google Scholar 

  19. Steele G Jr, Sawyer RB, Sawyer KC (1973) Retroperitoneal and transmesosigmoid herniation of ileum. Report of a case. Rocky Mt Med J 70(6):30–32

    PubMed  Google Scholar 

  20. Aslanabadi S, Ghalehgolab-Behbahan A, Jamshidi M, Veisi P, Zarrintan S (2007) Intestinal malrotations: a review and report of thirty cases. Folia Morphol (Warsz) 66(4):277–282

    CAS  Google Scholar 

  21. Mainik F, Flade-Kuthe R, Kuthe A (2005) Die total extraperitoneale endoskopische Hernioplastik (TEP) bei Versorgung von inkarzerierten sowie irreponiblen Inguinal- und Femoralhernien. Zentralbl Chir 130(6):550–553

    Article  PubMed  CAS  Google Scholar 

  22. Leibl BJ, Schmedt CG, Kraft K, Kraft B, Bittner R (2001) Laparoscopic transperitoneal hernia repair of incarcerated hernias: is it feasible? Results of a prospective study. Surg Endosc 15(10):1179–1183

    PubMed  CAS  Google Scholar 

Download references

Conflict of interest statement

The authors declare no conflicts of interest.

Author information

Authors and Affiliations

  1. Michael E. DeBakey Department of Surgery, Baylor College of Medicine, One Baylor Plaza, Mail Stop BCM390, Houston, TX, 77030, USA

    R. E. Freundlich & F. C. Brunicardi

  2. Department of Surgery, University of Minnesota, Minneapolis, MN, USA

    L. T. Hawes

  3. Division of Cardiothoracic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX, USA

    S. A. Weldon

Authors
  1. R. E. Freundlich
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. L. T. Hawes
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. S. A. Weldon
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. F. C. Brunicardi
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to R. E. Freundlich.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Freundlich, R.E., Hawes, L.T., Weldon, S.A. et al. Laparoscopic repair of an incarcerated right indirect sliding inguinal hernia involving a retroperitoneal ileum. Hernia 15, 225–227 (2011). https://doi.org/10.1007/s10029-010-0638-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10029-010-0638-3

Keywords

Search

Navigation