De Garengeot’s hernia patients entirely treated laparoscopically: a safe and feasible alternative—a systematic review
dc.contributor.author | Gómez Portilla, Alberto | |
dc.contributor.author | Merino, Elena | |
dc.contributor.author | López de Heredia Armentia, Eduardo | |
dc.contributor.author | Gareta, Alberto | |
dc.contributor.author | Ojeda, Montserrat | |
dc.date.accessioned | 2023-06-29T15:40:02Z | |
dc.date.available | 2023-06-29T15:40:02Z | |
dc.date.issued | 2023 | |
dc.identifier.citation | Langenbeck's Archives of Surgery 408(1) : (2023) // Article ID 171 | es_ES |
dc.identifier.issn | 1435-2443 | |
dc.identifier.issn | 1435-2451 | |
dc.identifier.uri | http://hdl.handle.net/10810/61794 | |
dc.description.abstract | Purpose Less than 450 cases of femoral hernias containing the vermiform appendix have been published since De Garenge- ot’s first description. A laparoscopic treatment option opened 15 years ago seems reliable and safe. A literature review of all the patients who have benefited from this new therapeutic alternative is presented. Methods A systematic review using the German Society of Surgery’s recommendations was performed for De Garengeot’s hernias totally treated laparoscopically. Keywords searched included “De Garengeot hernia” OR “femoral hernia appendix” OR “crural hernia appendix.” Results Only 29 out of 225 De Garengeot hernia’s manuscripts were identified describing patients entirely treated lapa- roscopically: 25 patients by a transabdominal preperitoneal hernia repair (TAPP) and 4 patients by a total extraperitoneal (TEP) procedure; 85.1% were females. The mean age was 71 years. Twenty-two patients had pre-operative imaging tests, sonography (2), computed tomography (14), or both (6). Nevertheless, only 56% had a preoperative diagnosis. Twenty-one cases required urgent treatment, while programmed surgery was possible in 7 instances. An appendix-sparing procedure could be done in 16% of the TAPPs. No postoperative complications occurred. The median hospital stay was 2.5 days. Conclusions The best surgical approach for a De Garengeot’s hernia is not defined, and many critical questions remain unan- swered. A better understanding of the diagnosis and treatment of this peculiar hernia will supply guidelines for clinicians who may encounter it hereafter. A fully laparoscopic approach seems perfectly safe and feasible for this entity, and it could be considered the first-line alternative if enough expertise is available | es_ES |
dc.description.sponsorship | Open Access funding provided by the University of the Basque Country thanks to the CRUE-CSIC agreement with Springer Nature. | es_ES |
dc.language.iso | eng | es_ES |
dc.publisher | Springer | es_ES |
dc.rights | info:eu-repo/semantics/openAccess | es_ES |
dc.rights.uri | http://creativecommons.org/licenses/by/3.0/es/ | * |
dc.subject | De Garengeot’s hernia | es_ES |
dc.subject | femoral hernia appendix | es_ES |
dc.subject | crural hernia appendix | es_ES |
dc.subject | laparoscopic hernioplasty | es_ES |
dc.subject | total extraperitoneal hernia repair (TEP) | es_ES |
dc.subject | transperitoneal preperitoneal hernia repair (TAPP) | es_ES |
dc.title | De Garengeot’s hernia patients entirely treated laparoscopically: a safe and feasible alternative—a systematic review | es_ES |
dc.type | info:eu-repo/semantics/article | es_ES |
dc.rights.holder | © The Author(s) 2023. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. | es_ES |
dc.rights.holder | Atribución 3.0 España | * |
dc.relation.publisherversion | https://link.springer.com/article/10.1007/s00423-023-02889-2 | es_ES |
dc.identifier.doi | 10.1007/s00423-023-02889-2 | |
dc.departamentoes | Cirugía, radiología y medicina física | es_ES |
dc.departamentoeu | Kirurgia,erradiologia eta medikuntza fisikoa | es_ES |
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Except where otherwise noted, this item's license is described as © The Author(s) 2023. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.