{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T19:20:52Z","timestamp":1787772052514,"version":"build-2784847793"},"reference-count":17,"publisher":"Ovid Technologies (Wolters Kluwer Health)","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Pantaloon hernia (PH) is defined as ipsilateral direct and indirect inguinal hernias. Bilateral PH is an exceedingly rare occurrence. Here, we report a case of a 73-year-old man with a painful, irreducible right groin swelling associated with vomiting and features of small bowel obstruction with bilateral groin swelling noted clinically. Contrast-enhanced computed tomography revealed an indirect hernia on the right containing obstructed small bowel and a left inguinal hernia partially containing the urinary bladder. Diagnostic laparoscopy revealed a bilateral PH with right-sided obstruction. After reducing the obstructed small bowel and checking its viability, the transabdominal pre-peritoneal approach was undertaken to repair the hernial orifices. The post-operative recovery was uneventful, and the patient was discharged on post-operative day 3. Serial follow-ups revealed no complications. This case highlights that, with experience, laparoscopic repair of bilateral PH in emergencies is safe, feasible and a practical alternative to open surgery.<\/jats:p>","DOI":"10.4103\/jmas.jmas_399_25","type":"journal-article","created":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T13:01:24Z","timestamp":1772110884000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Emergency laparoscopic transabdominal preperitoneal repair of bilateral pantaloon hernia presenting with acute small bowel obstruction"],"prefix":"10.4103","author":[{"given":"Sumanta","family":"Dey","sequence":"first","affiliation":[{"name":"Department of General and GI Surgery, Manipal Hospitals, Kolkata, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kunal","family":"Banerjee","sequence":"additional","affiliation":[{"name":"Department of General and GI Surgery, Manipal Hospitals, Kolkata, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arnesh","family":"Agrawal","sequence":"additional","affiliation":[{"name":"Department of General and GI Surgery, Manipal Hospitals, Kolkata, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rohit Kumar","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of General and GI Surgery, Manipal Hospitals, Kolkata, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Soham","family":"Karmakar","sequence":"additional","affiliation":[{"name":"Department of General and GI Surgery, Manipal Hospitals, Kolkata, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,2,26]]},"reference":[{"key":"R1-20260226","doi-asserted-by":"crossref","first-page":"318","DOI":"10.1007\/s10029-004-0245-2","article-title":"An updated traditional classification of inguinal 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Surg"},{"key":"R9-20260226","first-page":"1461425","article-title":"Pantaloon hernia:Obstructed indirect component and direct component with cryptorchidism","volume":"2016","author":"Kariappa","year":"2016","journal-title":"Case Rep Surg"},{"key":"R10-20260226","doi-asserted-by":"crossref","first-page":"rjac514","DOI":"10.1093\/jscr\/rjac514","article-title":"Combined pantaloon and femoral hernia:A common pathology in medicine occurring simultaneously","volume":"2022","author":"Rajkumar","year":"2022","journal-title":"J Surg Case Rep"},{"key":"R11-20260226","first-page":"78","article-title":"An octagon of hernias:Atypical presentation of bilateral inguinal (Pantaloon), femoral, and obturator hernias in an active geriatric patient","volume":"4","author":"Khan","year":"2024","journal-title":"ACS Case Rev Surg"},{"key":"R12-20260226","first-page":"e48510","article-title":"A complicated case of strangulated inguinal hernia of the sigmoid colon with secondary ischemic-compromise of scrotal tissue:A multi-disciplinary surgical approach","volume":"15","author":"Meng","year":"2023","journal-title":"Cureus"},{"key":"R13-20260226","doi-asserted-by":"crossref","first-page":"419","DOI":"10.18203\/2349-2902.isj20200290","article-title":"A study of outcome and complications of emergency inguinal hernias repair","volume":"7","author":"Prasad","year":"2020","journal-title":"Int Surg J"},{"key":"R14-20260226","doi-asserted-by":"crossref","first-page":"11242","DOI":"10.3389\/jaws.2023.11242","article-title":"Laparoscopic versus open approach in emergent inguinal hernia:Our experience and review of literature","volume":"2","author":"Moreno-Suero","year":"2023","journal-title":"J Abdom Wall Surg"},{"key":"R15-20260226","first-page":"327","article-title":"Laparoscopic approach to incarcerated and strangulated inguinal hernias","volume":"13","author":"Deeba","year":"2009","journal-title":"JSLS"},{"key":"R16-20260226","doi-asserted-by":"crossref","first-page":"2733","DOI":"10.1002\/wjs.70076","article-title":"Laparoscopic versus open approach for emergency repair of groin hernias:A systematic review and meta-analysis","volume":"49","author":"Lai","year":"2025","journal-title":"World J Surg"},{"key":"R17-20260226","first-page":"35","article-title":"Laparoscopic hernia repair \u2013Complications","volume":"2","author":"Miguel","year":"1998","journal-title":"JSLS"}],"container-title":["Journal of Minimal Access 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