ArticleBMJ case reports2021
Minimally invasive management of de Garengeot hernia with staged robotic hernia repair.
Article in BMJ case reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
5 citing papers in PubMed, 1 synthesis or guideline pooled it.
- De Garengeot's hernia patients entirely treated laparoscopically: a safe and feasible alternative-a systematic review.Langenbeck's archives of surgery · 2023Pooled it
- Two-stage laparoscopic management of De Garengeot hernia with gangrenous appendicitis: a case report and literature review.International journal of surgery case reports · 2026Article
- De Garengeot Hernia in a Male Patient: Case Report of an Incarcerated Appendix Managed by a Hybrid Approach.Surgical case reports · 2026Article
- A Rare Case of De Garengeot Hernia With Acute Appendicitis: Diagnostic and Surgical Challenges in a Regional Setting.Cureus · 2025Article
- The uncommon preoperative diagnosis of a De Garengeot hernia and its more novel laparoscopic treatment.BMJ case reports · 2024Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
De Garengeot hernia is a rare phenomenon describing the migration of the appendix into a femoral hernia sac. Many repair strategies have been described although an open inguinal approach with suture repair is the most common technique. Despite strong evidence that mesh limits recurrence, most forgo mesh use in the presence of appendicitis for fear of contamination. We report a case in a 68-year-old man managed completely with minimally invasive strategies. We performed a staged laparoscopic appendectomy followed by robotic hernia repair with polypropylene mesh. This is the first described two-stage minimally invasive approach and the first report demonstrating the feasibility of robotic hernia repair in the setting of de Garengeot hernia. It is our opinion that using a staged approach may encourage mesh repair by minimising the risk of implant contamination. Furthermore, we believe a fully minimally invasive technique may result in improved outcomes.
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Registered trials
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