ArticleCureus2025
Emergency Laparoscopic Transabdominal Preperitoneal (TAPP) Repair With Bowel Resection for a Strangulated Femoral Hernia: A Case Report and Review of Strategies.
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.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Femoral hernias are uncommon but carry a high risk of incarceration and strangulation. While laparoscopy is increasingly applied in elective groin hernia repair, its role in emergency settings, requiring bowel resection, remains underreported. We report a 73-year-old woman (BMI 25.8) presenting with acute abdominal pain and vomiting. Examination revealed an irreducible right groin bulge, without overlying skin necrosis. Laboratory tests showed leukocytosis, with a markedly elevated neutrophil-to-lymphocyte ratio (NLR) of 10.7. CT demonstrated a small bowel loop herniating through the right femoral canal, with a mesenteric whirl sign. Diagnostic laparoscopy confirmed incarcerated ileum with a 0.5 cm perforation. Approximately 5 cm of bowel was resected extracorporeally via a mini-laparotomy, followed by transabdominal preperitoneal (TAPP) mesh repair. The patient recovered uneventfully and was discharged on postoperative day 11. Laparoscopic TAPP allowed safe reduction, assessment of bowel viability, correction of mesenteric torsion, and durable hernia repair within the same setting. Current evidence supports mesh use in selected clean-contaminated fields, and our case demonstrates its feasibility, even when limited bowel resection is required. Emergency laparoscopic TAPP repair, with concomitant bowel resection, is a safe and effective option for strangulated femoral hernias, offering both diagnostic and therapeutic advantages while minimizing wound morbidity.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.