A 68 year old female presented for elective repair of an abdominal wall hernia. Preoperative CT imaging revealed a right inguinal hernia defect with hernia contents coursing cephalad between the external and internal abdominal oblique muscles. This was consistent with an interstitial inguinal hernia, a rare entity outside of post- traumatic hernias. At operation the hernia contents were reduced laparoscopically. The hernia was then repaired by transitioning to the totally extraperitoneal (TEP) approach using a 15cm X 15cm piece of polyester mesh. The patient had an uneventful recovery. Interstitial hernias are rare, difficult to diagnose and potentially dangerous if left untreated. There is no consensus on the ideal repair of these unique hernias. This represents a minimally invasive repair of an unusual hernia, with a novel approach to diagnose and manage the hernia and its redundant sac.
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机译：一位68岁的女性提出用于腹壁疝的选择性修复。术前CT成像显示右腹股沟疝缺损，腹内外斜肌和腹内斜肌之间的疝气含量促使头颅畸形。这与间质性腹股沟疝是一致的，后者是创伤后疝以外的罕见实体。手术时，腹腔镜下疝气含量减少。然后，使用一块15cm X 15cm的聚酯网片过渡到完全腹膜外（TEP）方法来修复疝气。病人恢复良好。间质疝很罕见，难以诊断，如果不及时治疗，可能会造成危险。对于这些独特疝的理想修复尚无共识。这代表了用一种新颖的方法来诊断和管理疝及其多余的囊，从而对不寻常的疝进行了微创修复。
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