Falciform ligament herniation treated with combined trans-peritoneal laparoscopic dissection and abdominal wall repair by hand-interrupted suture: A case series report and review of literature

Falciform ligament hernia is a very rare internal and difficult to diagnose before surgery. Most reported cases are incisional hernias secondary prior abdominal We report three of primary falciform herniation into the epigastric region that was repaired by intra-peritoneal laparoscopic approach combined with an extra-abdominal small skin incision. All procedures were performed without conversion laparotomy, all specimens histopathologically diagnosed as lipomas. Three patients successfully recovered discharged on surgical days 2, 5, respectively. There no complicationor recurrence during 12-month follow-up. This technique safe feasible for repairing midline wall herniation. If orifice less than 2cm in diameter, defect may be improved this procedure using Safil 1.0 or Vicryl suture mesh.