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Journal of Laparoendoscopic & Advanced Surgical Techniques
Laparoscopic Femoral Hernia Repair Using Umbilical Ligament as Plug
To cite this article:
Danagra Georgia Ikossi, Raymond Shaheen, Baird Mallory.
Journal of Laparoendoscopic & Advanced Surgical Techniques.
April 2005,
15(2): 197-199.
doi:10.1089/lap.2005.15.197.
Published in Volume: 15 Issue 2: May 17, 2005
Danagra Georgia Ikossi, MDDepartment of Surgery, Stanford University, Stanford, California. Raymond Shaheen, MDDepartment of Surgery, Stanford University, Stanford, California. Baird Mallory, MDDivision of Pediatric Surgery, Maine Medical Center, Portland, Maine. A novel technique for the laparoscopic repair of femoral hernia is described. An 11-year-old boy who had undergone previous open inguinal herniorrhaphy presented with a persistent bulge in the ipsilateral groin. At laparoscopic exploration, a small femoral hernia was discovered. It was reduced with extrinsic compression and the defect closed laparoscopically using a permanent purse-string suture. The ipsilateral umbilical ligament was dissected off the abdominal wall and secured (plugged) over the internal opening, providing a tension-free repair. The immediate postoperative result was satisfactory and there was minimal postoperative pain. Two-year follow-up confirmed adequate repair, without recurrence. This laparoscopic technique enabled diagnostic precision, contralateral evaluation, and a novel means of patching and buttressing the peritoneal closure with umbilical ligament. The procedure is safe, simple, and provides excellent functional and cosmetic results.  This paper was cited by:A rare and frequently unrecognised pathology in children: femoral hernia A. Temiz, B. Akcora, M. Temiz, E. Canbolant Hernia. Nov 2008, Vol. 12, No. 5: 553-556 CrossRef Incarcerated Femoral Littre  s Hernia–Transperitoneal Preperitoneal Hernia Repair (TAPP) and Laparoscopic Resection of the Necrotic Diverticulum Andreas Comman, Stefan M. Brunner, Peter Gaetzschmann, Bianca Kipf, Wolfgang Baierl, Matthias Behrend Surgical Laparoscopy, Endoscopy & Percutaneous Techniques. Sep 2008, Vol. 18, No. 4: 409-413 CrossRef Morphologic Variations of the Umbilical Ring, Umbilical Ligaments and Ligamentum Teres Hepatis Chang-Seok Oh, Hyung-Sun Won, Choon Hyuck David Kwon, In-Hyuk Chung Yonsei Medical Journal. Feb 2008, Vol. 49, No. 6: 1004 CrossRef
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