Incarcerated inguinal hernias with contamination frequently lead to an open inguinal hernia primary repair. If no contamination is present, a tension-free repair with mesh is a good option. In this case, we encountered an incarcerated femoral hernia with perforation of the small bowel. We will describe and demonstrate via video how to incorporate a tension-free repair with mesh in a contaminated field with formation of a plug and patch made from biologic mesh.
BochicchioGVJainAMcGonigalK, et al.Biologic vs synthetic inguinal hernia repair: 1-Year results of a randomized double-blinded trial. J Am Coll Surg. 2014;218(4):751-757. doi:10.1016/j.jamcollsurg.2014.01.043
2.
Van EpsJFernandez-MoureJCabreraF, et al.Decreased hernia recurrence using autologous platelet-rich plasma (PRP) with Strattice™ mesh in a rodent ventral hernia model. Surg Endosc. 2016;30(8):3239-3249. doi:10.1007/s00464-015-4645-4
3.
TownsendCBeauchampREversBMattoxKSabistonD. Sabiston Textbook Of Surgery. 21st ed.Philadelphia, PA: Elsevier; 2021:1106-1117.
4.
BellowsCFShadduckPHeltonWSMartindaleRStouchBCFitzgibbonsR. Early report of a randomized comparative clinical trial of Strattice™ reconstructive tissue matrix to lightweight synthetic mesh in the repair of inguinal hernias. Hernia. 2014;18(2):221-230. doi:10.1007/s10029-013-1076-9
