2019 Volume 39 Issue 5 Pages 917-920
Although inguinal hernioplasty with synthetic mesh is fairly common in recent years, very few reports have been made on a hernioplasty with a sheet of an autologous fascia lata free grafts from the thigh. A 74 year–old male patient with a past surgical history of left hip disarticulation due to a liposarcoma in his left proximal femur was diagnosed as having an incarcerated left femoral hernia with perforative peritonitis of the sigmoid colon. He underwent an emergency laparotomy, and elective surgery for femoral hernia repair three month thereafter resulted in recurrence of the femoral hernia in two weeks. Laparotomy for the recurrent femoral hernia was performed successfully with a concurrently harvested sheet of the fascia lata graft from his unaffected limb to cover the femoral ring intraperitoneally. A sheet of fascia lata free graft is one of the safe and simple biologic materials to repair a recurrent hernia in the infection–prone peritoneal cavity in patients with a single lower extremity.
