D Schizas, I Katsaros, N Koliakos, V Ntomi, D I Tsilimigras, D Moris, E P Misiakos, N Zavras, A Bakopoulos
{"title":"An alternative management of a Littré hernia case: food for thought.","authors":"D Schizas, I Katsaros, N Koliakos, V Ntomi, D I Tsilimigras, D Moris, E P Misiakos, N Zavras, A Bakopoulos","doi":"","DOIUrl":null,"url":null,"abstract":"<p><strong>Aim: </strong>We present a novel approach to a Littré hernia case.</p><p><strong>Case report: </strong>A 62-year old male presented at our department with a painless mass in the inguinal area and was successfully treated for an inguinal Littré hernia. A Lichtenstein tension-free mesh repair was used without performing simultaneous diverticulectomy.</p><p><strong>Discussion: </strong>Resection of an asymptomatic Meckel's diverticulum remains a controversial issue. In adult population, leaving an accidentally found silent Meckel's diverticula in situ could reduce the risk of postoperative complications without increasing late complications. Mesh-based techniques provide lower recurrence rates compared to non-mesh techniques.</p><p><strong>Conclusions: </strong>Management of asymptomatic Littré hernias presents a challenge for the operating surgeon. Treatment guidelines should be developed for the optimal management of these patients.</p>","PeriodicalId":46352,"journal":{"name":"Giornale di Chirurgia","volume":"40 4","pages":"360-363"},"PeriodicalIF":0.4000,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Giornale di Chirurgia","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0
Abstract
Aim: We present a novel approach to a Littré hernia case.
Case report: A 62-year old male presented at our department with a painless mass in the inguinal area and was successfully treated for an inguinal Littré hernia. A Lichtenstein tension-free mesh repair was used without performing simultaneous diverticulectomy.
Discussion: Resection of an asymptomatic Meckel's diverticulum remains a controversial issue. In adult population, leaving an accidentally found silent Meckel's diverticula in situ could reduce the risk of postoperative complications without increasing late complications. Mesh-based techniques provide lower recurrence rates compared to non-mesh techniques.
Conclusions: Management of asymptomatic Littré hernias presents a challenge for the operating surgeon. Treatment guidelines should be developed for the optimal management of these patients.
期刊介绍：
Il Giornale di Chirurgia pubblica contributi che propongono le diverse tecniche su patologia chirurgiche di attualità. Pubblica articoli originali, casistica clinica, metodi, tecniche, terapia farmacologica pre-operatoria e post-chirurgica, ed articoli inerenti la descrizione di tecniche chirurgiche.
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