Abstract
An 86-year-old woman was admitted to our hospital with vomiting and abdominal pain. On physical examination, a bulge was found in the left inguinal region. Abdominal computed tomography (CT) showed the bulge was filled with herniated intestine and omentum, and a left incarcerated femoral hernia was diagnosed. We performed emergency surgery with the laparoscopic approach. Laparoscopy showed that the small intestine and omentum were herniated into the left femoral canal. We were able to release the small intestine and omentum using laparoscopic forceps. The ischemic color of the strangulated portion of the small intestine was not ameliorated, necessitating resection. The hernia space was repaired by laparoscopically reefing between the iliopubic tract and Cooper ligament, not using mesh because of the possibility infection. The patient's postoperative course was uneventful, and she was discharged on postoperative day 14. Laparoscopic repair is a minimally invasive and useful method for incarcerated hernia.
