Abstract
An 83-year-old female who underwent transabdominal pre peritoneal repair (TAPP) for a left femoral hernia in July 2011 was admitted due to left inguinal pain in March 2012. An abdominal computed tomography (CT) scan showed a herniated intestine filled with intestinal gas; a recurrent left incarcerated femoral hernia was diagnosed. We performed emergency surgery using a femoral approach with laparoscopy. Laparoscopy showed the incarcerated tissue and the small intestine was released from the left femoral canal. The color of the strangulated portion of the intestine recovered following laparoscopy, and the hernia space was repaired using a piece of Mesh plug® via the femoral approach. The postoperative course was uneventful, and the patient was discharged on the seventh postoperative day. A femoral approach with laparoscopy is good option for a recurrent incarcerated hernia without ischemia of the intestine.
