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[Crural hernia after inguinal hernia repair. A technical note]

G Celoria¹, E Falco, A Nardini

¹II Divisione di Chirurgia Generale, Ospedale S. Andrea, La Spezia.

Minerva Chirurgica

|March 1, 1994

Summary

A femoral hernia developed after Shouldice inguinal hernia repair. Ultrasound aids diagnosis, and the Lichtenstein plug technique is recommended for minimally invasive, simple repair without disturbing prior surgery.

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Area of Science:

Surgical repair of abdominal wall defects
Hernia surgery outcomes
Minimally invasive surgical techniques

Background:

Inguinal hernia repair is common, with various surgical methods available.
The Shouldice method is a traditional technique for inguinal hernia repair.
Recurrence or complication after hernia repair necessitates further surgical intervention.

Observation:

A case presented with femoral hernia developing subsequent to Shouldice inguinal hernia repair.
Preoperative diagnosis of recurrent or new hernia can be challenging.
Previous surgical repair sites may complicate subsequent hernia management.

Findings:

Ultrasound is proposed as a valuable tool for precise preoperative diagnosis of femoral hernias post-inguinal repair.

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The Lichtenstein "plug" technique is recommended for managing such cases.

This technique allows for minimally invasive repair, preserving the integrity of the prior inguinal repair.

Implications:

Accurate preoperative imaging like ultrasound is crucial for planning complex hernia repairs.
The Lichtenstein plug technique offers a simple and effective solution for secondary femoral hernia repair.
Minimally invasive approaches can improve patient outcomes and reduce surgical morbidity.