PMC4701804_01
Release of the omentum from the hernial defect.
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Past history: Open right inguinal herniorrhaphy three years previously Clinical exam revealed a swelling in the right groin below the inguinal ligament (Fig. 2).
Incidental ovarian cyst and hernial defect (blue arrow).
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The patient was well systemically (Fig. 3).
Femoral canal (blue arrow), pubic bone (double arrow) and broad ligament (curved arrow) after peritoneal flap creation.
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Ultrasound of the pelvis showed a recurrent inguinal hernia or a differential diagnosis of a femoral hernia on the right side (Fig. 4).
Diagrammatic representation of the relevant anatomy.
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Her post operative recovery was uneventful and she was discharged home on post operative day one (Fig. 5).