Bilateral inguinal hernia after axillary-femoral artery bypass effectively treated with laparoscopic repair: A case report.
We report herein our experience with bilateral inguinal hernia surgery for a patient who had previously undergone a Y-shaped vascular graft for an abdominal aortic aneurysm and then right axillary-bilateral femoral artery bypass surgery. Preoperative physical examination and imaging revealed a subcutaneous vascular graft passing from the right axilla through the right flank region and branching at the lower abdomen to reach the femoral areas on both sides. As repair surgery by inguinal incision was considered difficult, we performed laparoscopic surgery. Bilateral direct hernia was observed on intraperitoneal observation. Essentially no intraperitoneal organ adhesion to the abdominal wall was present, and the previous surgery was also confirmed not to have reached the inguinal preperitoneal space. Transabdominal preperitoneal repair was therefore performed, yielding favorable results.
['Susumu|Seiya|S|', 'Nagakawa|Kantoku|K|', 'Kawakami|Shunsuke|S|', 'Okada|Kazuya|K|', 'Kishikawa|Hiroki|H|']
D017544:Aortic Aneurysm, Abdominal D066254:Axillofemoral Bypass Grafting D006552:Hernia, Inguinal D059685:Herniorrhaphy D006801:Humans D010535:Laparoscopy D008297:Male D008875:Middle Aged
inguinal hernia Axillary-femoral artery bypass laparoscopic repair