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Contributors: Robert J. Vandewalle, MD
During the initial laparoscopic examination, hernia defects were noted bilaterally, inferior to the inguinal ligaments and medial to the iliac veins, which was diagnostic for femoral hernias. The hernia sacs were everted and excised with electocautery. Care was taken to identify and preserve the Vas deferens and the iliac vein. The femoral hernia defects were then obliterated by approximating the inguinal and pectineal (Cooper’s) ligaments with 2-0 braided nylon suture. The patient tolerated the procedure well and was discharged home the same day. Operative time was approximately 60 minutes for each hernia defect, for a total time of around 120 minutes.
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