TAPP treatment for direct inguinal hernia combined with occult femoral hernia
DU Haiwei
SHAO Rongjiang
LI Qinguo
Abstract：This case report presents a repair surgery for recurrent direct inguinal hernia combined with occult femoral hernia,utilizing the transabdominal preperitoneal repair(TAPP)technique to mend the abdominal wall defect.The procedure conventionally began with an incision above the internal ring of the inguinal canal to dissect the preperitoneal space,initially freeing the Retzius space and the posterior inguinal space(Bogros space).The ipsilateral occult femoral hernia was discovered,and after reducing the hernia sac,the suprapubic abdominal wall defect was closed.The Retzius and Bogros spaces were further developed according to the size of the mesh,with the medial side crossing 3 cm beyond the pubic symphysis,the lower side reaching 3 cm below the pubis,and the lateral side extending to the anterior superior iliac spine.The upper peritoneal flap was freed,a 3 D well-releasing mesh was placed and properly fixed,and the peritoneum was closed with sutures.This surgical approach not only demonstrates the advantages of the TAPP technique in clearly displaying and freeing spaces and detecting occult hernias,but also confirms that TAPP is a safe,fast,and effective procedure for treating recurrent direct inguinal hernias.
Keywords：recurrent direct inguinal hernialaparoscopic hernia repairoccult femoral hernia
Publication Date：2024-08-20
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 20-22 )