Peer-reviewed veterinary case report
One-Stage Totally Extraperitoneal Mesh Repair for Incarcerated Groin Hernias With Separated Operative Fields.
By Miyasaka M et al.·2026·Department of Surgery, Japan·View original on Europe PMC →
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Plain-English summary
In this study, researchers looked at 13 patients who had emergency surgery for incarcerated groin hernias, which can be a serious condition where tissue gets trapped. They used a special technique that involved looking inside the abdomen with a camera and then repairing the hernia with mesh in a way that kept different areas of the body separate. This method allowed them to safely fix the hernia and, if needed, remove any damaged bowel in one surgery. The results suggest that this approach can be effective and may be useful in emergency situations where traditional methods might be riskier. Overall, the treatment worked well for the patients involved.
Abstract
<h4>Introduction</h4>Incarcerated groin hernia is a challenging emergency, and the optimal surgical approach-particularly regarding mesh use when bowel resection is required-remains controversial.<h4>Operative technique</h4>We retrospectively reviewed 13 patients who underwent emergency repair of incarcerated groin and obturator hernias using a standardized laparoscopy-assisted totally extraperitoneal (TEP) technique with separated operative fields. Diagnostic laparoscopy was used for inspection and reduction, followed by single-incision plus one-port TEP mesh repair, and re-laparoscopy for bowel assessment. When necessary, bowel resection was performed through an extended umbilical incision, maintaining field separation. Thirteen patients were treated with this approach, which allowed one-stage mesh repair even in cases requiring bowel resection.<h4>Discussion</h4>This combined intraperitoneal and extraperitoneal approach enables safe one-stage mesh repair even when bowel resection is required by minimizing contamination risk through spatial separation. The technique may expand the applicability of TEP in emergency settings.
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Search related cases →Original publication on Europe PMC: https://europepmc.org/article/MED/41521144