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Hernioscopy in Incarcerated Inguinal Hernia Spontaneously Reduced after General Anesthesia Induction
Irwin C White-Gittens1, Aleksandr Kalabin1, Vishnu R Mani2
1Department of General Surgery, Columbia University College of Physicians and Surgeons at Harlem Hospital Center.
Cureus
|January 20, 2018
Summary
Hernioscopy offers a minimally invasive approach for evaluating strangulated inguinal hernias that self-reduce during anesthesia. This technique aids surgeons in assessing bowel viability and guiding treatment decisions, avoiding more invasive procedures.
Area of Science:
- Surgical Innovation
- Gastrointestinal Surgery
- Hernia Repair Techniques
Background:
- Strangulated inguinal hernias are surgical emergencies requiring prompt intervention.
- Hernia sac laparoscopy, or hernioscopy, is an uncommon but valuable diagnostic tool.
- Spontaneous reduction of hernia contents during anesthesia induction can complicate surgical planning.
Observation:
- A case of acute symptomatic strangulated left-sided inguinal hernia is presented.
- The hernia spontaneously reduced during anesthesia induction.
- Hernioscopy was utilized to evaluate the incarcerated hernia contents post-reduction.
Findings:
- Hernioscopy provided a clear assessment of the hernia sac and its contents.
- The procedure facilitated a decision regarding the subsequent operative course.
- Successful hernia repair was achieved following hernioscopy evaluation.
Implications:
- Hernioscopy can serve as a valuable alternative to laparotomy or standard laparoscopy in specific emergent hernia cases.
- This technique aids in evaluating bowel viability and guiding surgical strategy.
- An algorithm for utilizing hernioscopy in emergent strangulated hernia scenarios is proposed.
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