Abstract:
:Garengeot's hernia (GH) is defined as the presence of the appendix inside a femoral hernia. It occurs in 0.9% of femoral hernias and is usually an incidental finding during surgery. Its treatment is controversial and the aim of this article is to review the diagnostic methods and surgical considerations. We report two cases diagnosed preoperatively by contrast-enhanced computed tomography (CT) and discuss the treatment options based on a review of the literature published in PubMed updated on 1 December, 2015. Fifty articles reporting 64 patients (50 women, mean age 70 years) with GH were included in the analysis. Diagnosis was performed by preoperative CT in only 24 cases, including our two. The treatment of GH is emergency surgery. Several options are available laparoscopic or open approach: insertion of a mesh or simple herniorrhaphy, with or without appendectomy. CONSLUSION:The preoperative diagnosis with CT can guide the choice of treatment. Appendectomy and hernioplasty should be performed via inguinotomy, if there is no perforation or abscess formation.
journal_name
Open Med (Wars)journal_title
Open medicine (Warsaw, Poland)authors
Garcia-Amador C,De la Plaza R,Arteaga V,Lopez-Marcano A,Ramia Jdoi
10.1515/med-2016-0065subject
Has Abstractpub_date
2016-10-07 00:00:00pages
354-360issue
1issn
2391-5463pii
med-2016-0065journal_volume
11pub_type
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