TY - JOUR T1 - Minimally Invasive Solutions: Laparoscopic Management of A Case of Strangulated Femoral Hernia TT - Minimal İnvaziv Çözümler: Bir Strangüle Femoral Herni Olgusunun Laparoskopik Yönetimi AU - Yılmaz, Mustafa AU - Zerey, Cansu AU - Benli, Sami PY - 2025 DA - October Y2 - 2025 DO - 10.18678/dtfd.1705721 JF - Duzce Medical Journal JO - Duzce Med J PB - Duzce University WT - DergiPark SN - 1307-671X IS - Early Access LA - en AB - Strangulated femoral hernia is a rare but serious surgical emergency characterized by the entrapment of abdominal contents in the femoral canal, leading to compromised blood flow and potential complications such as ischemia, necrosis, or perforation. Prompt surgical intervention is essential to reduce morbidity and mortality. While open surgery has long been the standard treatment, laparoscopic techniques are increasingly preferred due to their minimally invasive nature, shorter recovery time, and lower complication rates. In this case report, the successful management of a strangulated femoral hernia in an 82-year-old female patient using with laparoscopic method was presented. The laparoscopic approach not only allowed for accurate intra-abdominal exploration but also facilitated a safe and effective repair. This case highlights the feasibility and advantages of laparoscopy even in elderly patients, supporting its role as a reliable option in the emergency management of femoral hernias. KW - Femoral hernia KW - Laparoscopy KW - Minimally invasive surgical procedures KW - Emergency surgical procedures N2 - Strangüle femoral herni, abdominal içeriğin femoral kanalda sıkışmasıyla karakterize nadir ancak ciddi bir cerrahi acil durumdur ve kan akışının bozulmasına ve iskemi, nekroz veya perforasyon gibi olası komplikasyonlara yol açar. Morbidite ve mortaliteyi azaltmak için derhal cerrahi müdahale şarttır. Açık cerrahi uzun zamandır standart tedavi yöntemi olsa da, minimal invaziv doğası, daha kısa iyileşme süresi ve daha düşük komplikasyon oranları nedeniyle laparoskopik teknikler giderek daha fazla tercih edilmektedir. Bu olgu sunumunda, 82 yaşında bir kadın hastada strangüle femoral herninin laparoskopik yöntemle başarılı bir şekilde yönetimi sunulmuştur. Laparoskopik yaklaşım yalnızca doğru intraabdominal eksplorasyona izin vermekle kalmamış, aynı zamanda güvenli ve etkili bir onarımı da kolaylaştırmıştır. Bu vaka, laparoskopinin yaşlı hastalarda bile uygulanabilirliğini ve avantajlarını vurgulayarak, femoral hernilerin acil tedavisinde güvenilir bir seçenek olarak rolünü desteklemektedir. CR - Pietrogiovanna L, Janczak J, Pfeifer N, Strahm R, Brunner W. Incarcerated femoral hernia in women - A critical view on approach options. Int J Surg Case Rep. 2023;106:108149. CR - Nguyen MT, Nguyen VQ. Concurrent strangulated obturator hernia and femoral hernia repair via TAPP approach: A case report. SAGE Open Med Case Rep. 2023;11:2050313X231185956. CR - Veetil DK, Wadhawan R, Verma NK, Tanai SR. Complicated femoral hernia: Minimally invasive surgery management. J Minim Access Surg. 2023;19(4):555-8. CR - Luo B, Zhang X, Guo Q, Tian Y, Ren M. Application of spatial replacement method in the treatment of laparoscopic incarcerated femoral hernia - A case report. Int J Surg Case Rep. 2022;98:107535. CR - Sbacco V, Petrucciani N, Lauteri G, Cossa A, Portinari M, Brescia A, et al. Management of groin hernias in emergency setting: differences in indications and outcomes between laparoscopic and open approach. A single-center retrospective experience. Langenbecks Arch Surg. 2024;409(1):48. CR - Yang XF, Liu JL. Laparoscopic repair of femoral hernia. Ann Transl Med. 2016;4(19):371. CR - Paasch C, De Santo G, Look P, Boettge K, Hünerbein M. Laparoscopic treatment of an incarcerated Meckel's diverticulum in a femoral hernia. Case Rep Surg. 2019;2019:3140706. CR - Song HX, Xie TH, Fu Y, Jin XS, Wang Q, Niu Z. Single-stage laparoscopic transabdominal preperitoneal (TAPP) utilizing biologic mesh for De Garengeot hernia: a case report and literature review. Front Med. 2025;12:1643775. UR - https://doi.org/10.18678/dtfd.1705721 L1 - https://dergipark.org.tr/en/download/article-file/4899153 ER -