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Smith et al. Mini-invasive Surg 2021;5:34 Mini-invasive Surgery
DOI: 10.20517/2574-1225.2021.44

Case Report Open Access

Laparoscopic mesh repair of strangulated groin

hernias requiring bowel resection

Alexander Smith, Jordan Bilezikian, William Hope, Sarah Fox
Department of General Surgery, Division of Gastrointestinal Surgery, Novant New Hanover Regional Medical Center,
Wilmington, NC 28401, USA.

Correspondence to: Dr. Sarah Fox, Department of Surgery, Division of Gastrointestinal Surgery, Novant New Hanover Regional
Medical Center, 2131 South 17th Street, PO Box 9025, Wilmington, NC 28401, USA. E-mail: sarah.fox@nhrmc.org

How to cite this article: Smith A, Bilezikian J, Hope W, Fox S. Laparoscopic mesh repair of strangulated groin hernias requiring
bowel resection. Mini-invasive Surg 2021;5:34. https://dx.doi.org/10.20517/2574-1225.2021.44

Received: 29 Mar 2021 First Decision: 13 Apr 2021 Revised: 26 Apr 2021 Accepted: 6 May 2021 First online: 1 Jul 2021

Academic Editor: Giulio Belli Copy Editor: Xi-Jun Chen Production Editor: Xi-Jun Chen

Abstract
No robust data support laparoscopic mesh repair in strangulated groin hernias. This is a retrospective review over 6
years of a single surgeon’s experience treating strangulated groin hernias using the laparoscopic trans-abdominal
preperitoneal mesh repair with concomitant bowel resection through a periumbilical incision. Nine patients
presented with incarceration of 2 inguinal and 7 femoral hernias. The median age was 83 years (IQR 68, 85). One
patient was male, all were Caucasian, and 5 were ASA 3-4. The median hospital length of stay was 6 days (IQR 4,
7). There were no known hernia recurrences or mesh infections at 30 days. Laparoscopic repair necessitates mesh
placement, and doing so in a clean-contaminated setting is acceptably low risk. Laparoscopy permits better
assessment of bowel viability compared to open repair and enables mesh coverage of both the inguinal and femoral
spaces.

Keywords: Clean-contaminated mesh, strangulated hernias, trans-abdominal preperitoneal

INTRODUCTION
Strangulated groin hernia is a relatively rare condition that requires emergency surgical treatment. Groin
hernia repair, however, is extremely common. Various techniques exist via open and minimally invasive
approaches. The literature shows that laparoscopic repair for elective hernias has many benefits over the
open approach. Similar complication and recurrence rates are seen, but there typically is less pain and time

© The Author(s) 2021. Open Access This article is licensed under a Creative Commons Attribution 4.0
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