An alternative management of a Littré hernia case: food for thought.
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.
Schizas, D; Katsaros, I; Koliakos, N; Ntomi, V; Tsilimigras, DI; Moris, D; Misiakos, EP; Zavras, N; Bakopoulos, A
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