CASE REPORT article
Front. Med.
Sec. Gastroenterology
Volume 12 - 2025 | doi: 10.3389/fmed.2025.1643775
Single-Stage Laparoscopic Transabdominal Preperitoneal (TAPP) Utilizing Biologic Mesh for De Garengeot Hernia: A Case Report and Literature Review
Provisionally accepted
- 1Affiliated Hospital of Hebei University, Baoding, China
- 2Baoding No 1 Central Hospital, Baoding, China
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De Garengeot hernia, characterized by appendiceal incarceration within a femoral canal hernia sac, is a rare condition with high risks of strangulation. Traditional open repair remains standard, but laparoscopic approaches offer minimally invasive alternatives. However, limited evidence exists on combining laparoscopic transabdominal preperitoneal (TAPP) with biologic mesh for this condition. This study presents a case of laparoscopic TAPP with biologic mesh for De Garengeot hernia with concomitant laparoscopic appendectomy. A 69-year-old woman presented with a right inguinal mass and pain. Imaging confirmed a femoral hernia containing the inflamed appendix. Laparoscopic exploration revealed ischemic appendiceal changes, necessitating appendectomy. Laparoscopic TAPP with biologic mesh was performed, utilizing keyhole fixation and reinforced closure. Postoperative recovery was uneventful, as evidenced by no recurrence at 18-month follow-up. Laparoscopic TAPP with biologic mesh represents a feasible, minimally invasive strategy for De Garengeot hernia, enabling simultaneous appendectomy and hernia repair. This approach leverages the regenerative properties of biologic scaffolds and their superior anti-infective properties, while minimizing complications, offering a promising alternative to traditional methods. Further research is needed to establish standardized protocols and assess long-term outcomes.
Keywords: Femoral hernia, TAPP, Biologic mesh, case report, De Garengeot hernia
Received: 09 Jun 2025; Accepted: 04 Aug 2025.
Copyright: © 2025 Song, Xie, Fu, Jin, Wang and Niu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Tianhao Xie, Affiliated Hospital of Hebei University, Baoding, China
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