An anatomic and functional classification for the diagnosis and treatment of inguinal hernia

This review details the evaluation and management of the acute scrotum in the emergency department setting and emergent penile complaints in adults, with an emphasis on the most serious and most common conditions. Other emergent conditions include necrotizing fasciitis of the perineum (Fournier disease), incarcerated or strangulated inguinal hernia, and genitourinary (GU) trauma. Emergency practitioners need to be most concerned with the entities that, if left untreated, can result in ischemia and necrosis of the penis. Basic anatomy and bedside evaluation are reviewed. Acute scrotal and penile pain and GU trauma are discussed in terms of assessment and stabilization, diagnosis, and treatment and disposition. This review contains 5 figures, 19 tables, and 71 references. Keywords: Acute scrotal pain, testicular torsion, priapism, Peyronie disease, paraphimosis, phimosis, balanitis, posthitis, epididymitis

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'One-stop' inguinal hernia surgery – day-case referral, diagnosis and treatment

Annals of The Royal College of Surgeons of England ◽

10.1308/147870804506 ◽

2004 ◽

Vol 86 (6) ◽

pp. 425-427 ◽

Cited By ~ 15

Author(s):

S Putnis ◽

R Merville-Tugg ◽

S Atkinson

Keyword(s):

Inguinal Hernia ◽

Diagnosis And Treatment ◽

Day Case ◽

Hernia Surgery ◽

Inguinal Hernia Surgery ◽

One Stop

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Case Report: Diagnosis and Treatment of a Giant Retroperitoneal Liposarcoma Presenting as an Irreducible Inguinal Hernia

10.21203/rs.3.rs-32548/v1 ◽

2020 ◽

Author(s):

Zhiqing Yuan ◽

Qiwei Li ◽

Jianhua Sun ◽

Wei Zhou ◽

Tao Chen

Keyword(s):

Inguinal Hernia ◽

Tumor Resection ◽

Radical Resection ◽

Left Ventricular ◽

Diagnosis And Treatment ◽

Left Ventricular Ejection ◽

Resected Specimen ◽

Left Testis ◽

Ventricular Ejection Fraction ◽

Retroperitoneal Liposarcoma

Abstract Background: Retroperitoneal liposarcoma protrude to the inguinoscrotal area presenting as an irreducible inguinal hernia is extremely rare. For the rare cases and little experience of diagnosis and treatment of this disorder, the clinical guidelines are vacant. We report a successful example for the management of a giant retroperitoneal liposarcoma extending to the inguinoscrotal area. Case presentation: A 55-year-old male patient was admitted to our hospital in August 2018 with a large left inguinal mass without abdominal pain or digestive symptoms. Preoperative contrast-enhanced computed tomography revealed an abdominopelvic huge mass, and ultrasound guided biopsies showed liposarcoma. The patient also suffered from dilated cardiomyopathy and the left ventricular ejection fraction is only 39%. The left renal pedicle was squeezed by the mass and the left glomerular filtration rate is as low as 29.25ml/min. Intraoperatively, the mass was incarcerated in the inguinal canal and involved the left testis. We performed a radical tumor resection with two incisions, including resection of the retroperitoneal tumor, resection of the scrotal tumor and a tension-free repair of left inguinal hernia. The resected specimen for the retroperitoneal part measured 50*28*9 cm, weighed 13.5 kilograms and the scrotal part measured 16.5*7*4.5 cm, weighed 6.2 kilograms. Pathologically, the tumor was diagnosed as a well-differentiated liposarcoma, and originated from perirenal fat. The patient did not undergo adjuvant therapy post-operation and is completely clinical remission fifteen months after the operation. Conclusions: Careful distinction for inguinoscrotal mass is essential to minimize complications and improve patient prognosis. The prime principle to treat well differential retroperitoneal liposarcomas is radical resection with protection of vital organs and vessels.

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Diagnosis and treatment of inguinal hernia of the bladder: a systematic review of the past 10 years

Türk Üroloji Dergisi/Turkish Journal of Urology ◽

10.5152/tud.2018.46417 ◽

2018 ◽

Vol 44 (5) ◽

pp. 384-388 ◽

Cited By ~ 11

Author(s):

Benjamin Branchu ◽

◽

Yohann Renard ◽

Stephane Larre ◽

Priscilla Leon ◽

...

Keyword(s):

Systematic Review ◽

Inguinal Hernia ◽

Diagnosis And Treatment ◽

The Past

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Laparoscopic Diagnosis and Treatment of an Enterocutaneous Fistula after Inguinal Hernia Correction

European Journal of Pediatric Surgery ◽

10.1055/s-0029-1243629 ◽

2010 ◽

Vol 20 (05) ◽

pp. 341-341

Author(s):

M. Stommel ◽

A. S. van der Velden ◽

R. Wijnen ◽

M. Wijnen

Keyword(s):

Inguinal Hernia ◽

Enterocutaneous Fistula ◽

Diagnosis And Treatment

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Inguinoscrotal hernias involving urologic organs: A case series

Canadian Urological Association Journal ◽

10.5489/cuaj.225 ◽

2014 ◽

Vol 8 (5-6) ◽

pp. 429 ◽

Cited By ~ 13

Author(s):

Jeffrey Peter McKay ◽

Michael Organ ◽

Christopher Gallant ◽

Christopher French

Keyword(s):

Acute Kidney Injury ◽

Inguinal Hernia ◽

Case Series ◽

Kidney Injury ◽

Diagnosis And Treatment ◽

Indirect Inguinal Hernia ◽

Ureteric Obstruction ◽

First Case ◽

History Of ◽

The Right

We report 2 cases of inguinoscrotal hernias involving urologic organs. The first case involved an elderly gentleman with a history of micturition by squeezing his scrotum. He was diagnosed as having a right-sided indirect inguinal hernia involving the right ureter and bladder. Treatment was surgical. The second case involved an achondroplastic male who presented with acute kidney injury. He had bilateral hydronephrosis and ureteric obstruction secondary to an ureteroinguinal herniation bilaterally. The presentation, diagnosis, and treatment of inguinoscrotal hernias involving the bladder and ureters are discussed.

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