Abstract:
t An atypical femoral hernia developing through
the lacunar ligament is called Laugier’s hernia. Preoperative
diagnosis of these atypical hernias is very diYcult
because of their rarity and similar clinical appearance to
conventional femoral hernias. A 52-year-old female
presented with right groin swelling. During laparoscopic
totally extraperitoneal (TEP) inguinal hernia repair, a
hernia sac through an opening in the lacunar ligament was
diagnosed and repaired with mesh covering the inguinal
Xoor. The surgeon should be alert to the possibility of an
atypical femoral hernia when examining patients with
inguinal hernias. A laparoscopic approach should be chosen
instead of a conventional approach for the treatment of
femoral hernias because of its high diagnostic and therapeutic
capacity for all types of femoral hernia, including
Laugier’s.
