Robotic-assisted inguinal hernia repair with concomitant robotic-assisted appendectomy in a patient with incarcerated de Garengeot hernia—a case report

In this case report, we describe a 74-year-old woman who underwent robotic-assisted transabdominal preperitoneal patchplasty (rTAPP) for the repair of a right-sided inguinal hernia. Preoperative evaluation in the outpatient setting included inguinal ultrasonography and computed tomography (CT). Radiological findings demonstrated a right-sided inguinal hernia containing the tip of the appendix vermiformis within the hernia sac, consistent with an Amyand hernia. On the day of surgery, the hernia was non-reducible. Intraoperative findings revealed a femoral hernia with incarceration of the appendiceal tip. The hernia was reduced, and the hernia sac with the adherent appendix and surrounding peritoneum was resected en bloc. No free intra-abdominal fluid or signs of appendiceal perforation were observed intraoperatively. Robotic-assisted TAPP repair was subsequently performed. The peritoneum was completely reconstructed using a resorbable suture. Following peritoneal closure, robotic-assisted appendectomy was carried out. The postoperative course was uneventful, and the patient was discharged on the second postoperative day. According to follow-up data from the Herniamed Registry, the patient remains asymptomatic without complications to date.

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