Laparoscopic preperitoneal repair for primary falciform ligament herniation.

Abstract:

:Epigastric hernia involving the falciform ligament is exceptionally rare. Most reported cases are incisional hernia secondary to prior abdominal surgery. We report a case of primary falciform ligament herniation into the epigastric region repaired by the laparoscopic preperitoneal approach. In this case, an accompanying vessel along the herniated falciform ligament was identified. This finding provides a basis for the hypothesis of a perforating vessel piercing the linea alba and thereby creating a weak point for hernia protrusion (Moschowitz theory). The patient had an uneventful recovery and was discharged home on the postoperative day two. A laparoscopic preperitoneal approach is feasible for the repair of primary falciform ligament herniation. The magnified endoscopic view enables surgeons to achieve definite repair without missing occult defects.

journal_name

Ann R Coll Surg Engl

authors

Liang TJ,Wang KC,Tsai CC,Chen IS

doi

10.1308/rcsann.2020.0032

subject

Has Abstract

pub_date

2020-05-01 00:00:00

pages

e102-e104

issue

5

eissn

0035-8843

issn

1478-7083

journal_volume

102

pub_type

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