title: A laparoscopic high anterior resection for sigmoid cancer with extraction through incarcerated left inguinal hernia repaired with Permacol mesh.
abstract: A 65-year-old man presented to the general surgical outpatients with an incarcerated left inguinal hernia. Initial investigations revealed an iron deficiency anaemia that was investigated with a colonoscopy and gastroscopy. This revealed a sigmoid cancer and the staging CT scan confirmed a tumour incarcerated in the sac of the left inguinal hernia. We proceeded with a laparoscopic high anterior resection using the inguinal hernia as the extraction site. The hernia was repaired using Permacol mesh. No postoperative complications occurred.
authors.affiliation: Northern Deanary, Durham, UK. wrjcarr@doctors.org.uk
authors.forename: William Reginald Joseph
authors.initials: WR
authors.lastname: Carr
authors.forename: Graham
authors.initials: G
authors.lastname: O'Dair
mesh_terms: D000230:Adenocarcinoma / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D000368:Aged; D001672:Biocompatible Materials; D003094:Collagen; D006552:Hernia, Inguinal / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D059685:Herniorrhaphy / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D008297:Male; D012811:Sigmoid Neoplasms / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D013526:Surgical Mesh; D014057:Tomography, X-Ray Computed
chemical_list: D001672:Biocompatible Materials; C422414:Permacol; D003094:Collagen