Transabdominal Preperitoneal Repair of an Inguinal Hernia after Femoro-femoral Cross-over Bypass—A Case Report—

Abstract

An 85-year-old man presented to our hospital with painless swelling of the right inguinal region. He had undergone femorofemoral (F-F) bypass for atherosclerosis obliterans (ASO). An ultrasonographic study showed a hernia sac including small bowel under the vascular graft. A right inguinal hernia was diagnosed, and transabdominal preperitoneal hernia repair (TAPP) was performed. Before operation, the skin just above the graft was marked, and care was taken to ensure sufficient distance between the port sites and the vascular graft. The patient's post-operative course was satisfactory without complications. TAPP for inguinal hernia after F-F bypass surgery is one of the safe and useful strategies.