ArticleCureus2025
Five Synchronous Groin Hernias (Bilateral Lateral and Femoral and Right Medial) Repaired in a Single Laparoscopic Transabdominal Preperitoneal Session: A Case Report.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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5 authors.
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Abstract
Concomitant bilateral inguinal and femoral hernias are exceptionally rare, and most reports describe no more than three simultaneous groin defects. We report a 65-year-old male with a clinically diagnosed right groin bulge. During laparoscopic transabdominal preperitoneal (TAPP) exploration, the first intraperitoneal survey showed a right medial inguinal hernia (M3) and a right lateral inguinal hernia (L1), together with a left lateral inguinal hernia (L1) (European Hernia Society classification). After systematic dissection of both myopectineal orifices (MPOs), three additional occult hernias were identified, yielding five defects in total: right M3, L1, and femoral F2, plus left L1 and femoral F3. Each MPO was repaired with an anatomically contoured mid-weight polypropylene mesh (10 × 16 cm) with ≥3 cm overlap beyond all defect margins and secured using absorbable tackers. Recovery was uneventful. The patient was discharged on postoperative day three with no recurrence or complications at the latest follow-up. This case illustrates the diagnostic and therapeutic advantages of TAPP for comprehensive bilateral MPO evaluation and single-stage repair of multiple, often occult, groin hernias.
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