associated with elective and emergent laparoscopic totally extraperitoneal (TEP) and transabdominal preperitoneal (TAPP) procedures. Laparoscopic repair of large primary or recurrent Spigelian hernias may require mesh or fascia lata graft repair; however, patients with small Spigelian hernias (≤ 2 cm) can benefit from a simple, laparoscopy-assisted transfacial suturing technique that avoids mes...

BACKGROUND AND OBJECTIVES Laparoscopic preperitoneal hernia repair with mesh has been reported to result in improved patient outcomes. However, there are few published data on the use of a totally extraperitoneal (TEP) approach. The purpose of this study was to present our experience and evaluate early outcomes of TEP inguinal hernia repair with self-adhesive mesh. METHODS This cohort study w...

Reduction en masse refers to the rare occurrence of an incarcerated inguinal hernia arising from the manual reduction of a hernia. Such a condition constitutes a medical emergency because the hernia contents, such as the small bowel, remain strangulated in the preperitoneal space. Therefore, an early and accurate diagnosis, with early treatment, is important. A 61-year-old Japanese man presente...

INTRODUCTION In laparoscopic inguinal hernia repair the inguinal region is approached and hernia repair performed from the interior side instead of the classical open external access. Exploration and placement of staplers in the internal inguinal region during laparoscopic hernia repair may sever different anatomical structures, or induce specific complications such as nerve entrapment, neuralg...

Background: An incisional hernia is a bulge or protrusion that occurs near or directly along a prior abdominal surgical incision. Various surgical techniques including Open tissue repair, double breasting, darning, open and laparoscopic meshplasty have been used to repair the incisional hernias. In this era, we have selected topic ‘Pre-peritoneal versus on-lay meshplasty in incisional hernia re...

BACKGROUND The incarcerated appendix in the femoral hernia represents a rare clinical case that was first described by the Frenchman de Garengeot in 1731. Besides the open procedures, laparoscopy presented itself as a treatment option. CASE REPORT Our case concerns a 38-year-old patient with a right femoral hernia with an inflamed incarcerated appendix. Because of the clinically inconclusive ...