An unusual case of an isolated, incarcerated appendix epiploica inguinal hernia and laparoscopic mesh herniorrhaphy

An isolated appendix epiploica (AE) inguinal hernia remains a rare surgical entity despite laparoscopic herniorrhaphy and improved intra peritoneal visualization. The surgical disposition of the AE remains controversial with proponents for both excision and conservative management. The paucity of da...

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Main Authors: Yagan Pillay, Maryna Reshetar
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-07-01
Series:International Journal of Abdominal Wall and Hernia Surgery
Subjects:
Online Access:https://doi.org/10.4103/ijawhs.ijawhs_97_23
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author Yagan Pillay
Maryna Reshetar
author_facet Yagan Pillay
Maryna Reshetar
author_sort Yagan Pillay
collection DOAJ
description An isolated appendix epiploica (AE) inguinal hernia remains a rare surgical entity despite laparoscopic herniorrhaphy and improved intra peritoneal visualization. The surgical disposition of the AE remains controversial with proponents for both excision and conservative management. The paucity of data, based only on case reports precludes definite guidelines in their management. The presence of infection, organ ischemia, surgeon experience, and biological mesh availability all play a role in the management of this type of hernia. We present a rare case report with a viable incarcerated, AE inguinal hernia and its laparoscopic excision, and hernia repair. This is only the third such case report in the published literature to date.
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institution Kabale University
issn 2589-8736
2589-8078
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publisher Wolters Kluwer Medknow Publications
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series International Journal of Abdominal Wall and Hernia Surgery
spelling doaj-art-2084401df44f4a4f9a48da5136d593d62025-01-25T10:02:20ZengWolters Kluwer Medknow PublicationsInternational Journal of Abdominal Wall and Hernia Surgery2589-87362589-80782024-07-017314614910.4103/ijawhs.ijawhs_97_23An unusual case of an isolated, incarcerated appendix epiploica inguinal hernia and laparoscopic mesh herniorrhaphyYagan PillayMaryna ReshetarAn isolated appendix epiploica (AE) inguinal hernia remains a rare surgical entity despite laparoscopic herniorrhaphy and improved intra peritoneal visualization. The surgical disposition of the AE remains controversial with proponents for both excision and conservative management. The paucity of data, based only on case reports precludes definite guidelines in their management. The presence of infection, organ ischemia, surgeon experience, and biological mesh availability all play a role in the management of this type of hernia. We present a rare case report with a viable incarcerated, AE inguinal hernia and its laparoscopic excision, and hernia repair. This is only the third such case report in the published literature to date.https://doi.org/10.4103/ijawhs.ijawhs_97_23appendix epiploicainguinal hernialaparoscopic herniorrhaphy
spellingShingle Yagan Pillay
Maryna Reshetar
An unusual case of an isolated, incarcerated appendix epiploica inguinal hernia and laparoscopic mesh herniorrhaphy
International Journal of Abdominal Wall and Hernia Surgery
appendix epiploica
inguinal hernia
laparoscopic herniorrhaphy
title An unusual case of an isolated, incarcerated appendix epiploica inguinal hernia and laparoscopic mesh herniorrhaphy
title_full An unusual case of an isolated, incarcerated appendix epiploica inguinal hernia and laparoscopic mesh herniorrhaphy
title_fullStr An unusual case of an isolated, incarcerated appendix epiploica inguinal hernia and laparoscopic mesh herniorrhaphy
title_full_unstemmed An unusual case of an isolated, incarcerated appendix epiploica inguinal hernia and laparoscopic mesh herniorrhaphy
title_short An unusual case of an isolated, incarcerated appendix epiploica inguinal hernia and laparoscopic mesh herniorrhaphy
title_sort unusual case of an isolated incarcerated appendix epiploica inguinal hernia and laparoscopic mesh herniorrhaphy
topic appendix epiploica
inguinal hernia
laparoscopic herniorrhaphy
url https://doi.org/10.4103/ijawhs.ijawhs_97_23
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AT yaganpillay unusualcaseofanisolatedincarceratedappendixepiploicainguinalherniaandlaparoscopicmeshherniorrhaphy
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