Patent processus vaginalis in the adult as a risk factor for the occurrence of indirect inguinal hernia

2007 ◽  
Vol 21 (2) ◽  
pp. 202-205 ◽  
Author(s):  
R. N. van Veen ◽  
K. J. P. van Wessem ◽  
J. A. Halm ◽  
M. P. Simons ◽  
P. W. Plaisier ◽  
...  
2017 ◽  
Vol 13 (1) ◽  
pp. 46-50
Author(s):  
Zinia Parveen ◽  
Shams ud Din Elias Khan ◽  
Sharmeen Sultana ◽  
Sangita Mithun ◽  
Mst Nasrin Nahar ◽  
...  

Introduction: Inguinal hernias and hydroceles are among the common surgical problems in children. Both the hernia and hydrocele share a similar aetiology. Inguinal hernia in a child is usually an indirect inguinal hernia due to patent processus vaginalis. Likewise a fluid filled sac typically found in the scrotum may result from patent processus vaginalis or due to an imbalance between the secretion and absorption within the tunica vaginalis. Very little study was done in Bangladesh on inguinal hernia and hydrocele though these are very common in children. Objective: To observe the pattern of inguinal hernia and hydrocele amongst the children reported to a tertiary level hospital. Materials and Methods: This observational study was carried out in the Department of Paediatric Surgery, Combined Military Hospital, Dhaka during the period of January 2014 to December 2017. During the study period, a total of 258 children with inguinal hernia and hydrocele admitted in this hospital for operative treatment were included in this study. Results: During the study period 258 children with inguinal hernia and hydrocele were operated. Among them 246 (95.35%) had inguinal hernia and 12(4.65%) had hydrocele. Out of the children with inguinal hernia 206 (83.74%) were male and 40(16.26%) were female with male female ratio of 5.15:1. All had indirect inguinal hernia. Right side was involved in 140(56.91%) children. Out of 246 children with inguinal hernia, 161(65.44%) reported between 6 months to 5 years. Thirteen (5.28%) presented before 6 months and 72 (29.27%) presented after 5 years of age. All children were operated by traditional open method as admitted case. Among 12 children with hydrocele 10(83.33%) had right sided hydrocele and 2(16.67%) had hydrocele on the left side. Conclusion: Inguinal hernia and hydrocele occur most frequently in premature neonates. Inguinal hernia does not resolve spontaneously and there is high risk of incarceration requiring operative treatment as early as possible. Journal of Armed Forces Medical College Bangladesh Vol.13(1) 2017: 46-50


2016 ◽  
Vol 1 (1) ◽  
pp. 84-86
Author(s):  
Mohammed Babakir-Mina

The canal of Nuck is analogous to a patent processus vaginalis in a male, which normally loses its communication to the peritoneal cavity within the first year of life. Failure of obliteration of this tract can result in a hydrocele. We present a case of 38 years old lady referred to our surgical unit from Gynecologist as left obstructed femoral hernia. A fluid filled sac (Encysted Hydrocele of Canal of Nück) with small indirect inguinal hernia.


2020 ◽  
Author(s):  
Jia You ◽  
Gang Li ◽  
Shuang Li ◽  
Haitao Chen ◽  
Jun Wang

Abstract Background Discuss the superiority of laparoscopic orchiopexy in the treatment of inguinal palpable undescended testes. Methods Inclusion criteria: Preoperative examination and color Doppler ultrasound examination confirmed that the testes were located in the inguinal canal and could not be pulled into the scrotum, except for retractive and ectopic testes. The surgical steps were depicted as follow. The retroperitoneal wall was carved by ultrasonic scalpels, separates the spermatic vessels closed to the inferior pole of the kidney if necessary, dissects the peritoneum of vas deferens, cuts the testicular gubernaculum, and pulls back the testicle into the abdominal cavity. Besides, protect the vas deferens, and descend the testes to the scrotum and fix them without tension. Results There were 773 patients with 869 inguinal undescended palpable testes, 218 cases on the left side, 459 cases on the right side and 96 cases with bilateral undescended testes, whose age ranged from 6 months to 8 years, with an average of 20 months. All testes were successfully operated, no converted to open surgery. The average operation time was (34.8 ± 5.4) min. There were 692 testes have an ipsilateral patent processus vaginalis (89.5%); In 677 cases of unilateral cryptorchidism, 233 cases (34.4%) have a contralateral patent processus vaginalis, and laparoscopic percutaneous extraperitoneal closure the hernia sac carry out during the surgery. There was no subcutaneous emphysema during the operation, no vomiting, no abdominal distension, no wound bleeding and obvious pain after surgery, especially wound infection is rarely. Doppler ultrasound was evaluated regularly after surgery. The patients were followed up for 6 to 18 months. All the testes were located in the scrotum without testicular retraction and atrophy. No inguinal hernia or hydrocele was found in follow-up examination. Conclusion Laparoscopic orchiopexy manage inguinal palpable cryptorchidism is safe and effective, and there are obvious minimally invasive advantages. Furthermore, It could discover a contralateral patent processus vaginalis, and treat at the same time, which avoid the occurrence of metachronous inguinal hernia.


2017 ◽  
Vol 52 (1) ◽  
pp. 60-64 ◽  
Author(s):  
Katrina L. Weaver ◽  
Ashwini S. Poola ◽  
Joanna L. Gould ◽  
Susan W. Sharp ◽  
Shawn D. St. Peter ◽  
...  

2017 ◽  
Vol 7 (1) ◽  
pp. 62-65
Author(s):  
Smit Shah ◽  
Praful Shah

Indirect inguinal hernia is a common medical condition that can be caused by an embryological defect due to failure of closure of processus vaginalis that can lead to herniation (i.e. abnormal protrusion) of abdominal contents into scrotal sac in males. In this paper, we describe an interesting case report of a patient with bilateral inguinal hernia with hydroceles who underwent a modified shouldice repair. In addition, we also discuss initial presentation & surgical management of this patient who had painless postero-inferior displacement of testes. Reason why we think this case is unique, is because of ‘bilateral’ hydroceles along with bilateral inguinal hernia which is rarely seen as compared to its unilateral counterparts. We also describe various surgical steps of modified shouldice repair with bilateral orchiopexy along with the post-operative outcome. Finally, we also discuss various types of hydroceles, along with its pathology that is found after surgical resection.South East Asia Journal of Public Health Vol.7(1) 2017: 62-65


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