P144 SPERMATIC CORD LIPOSARCOMA - A VERY RARE FINDING DURING INGUINAL HERNIA SURGERY

Abstract Aim Repair of inguinal hernia is one of the most common operations in general surgery in industrialized countries. Isolated spermatic cord liposarcoma is a very rare soft tissue tumor. Despite standardized diagnostic algorithms for inguinal hernia, it could be difficult to predict such a rare finding. Material and Methods We report a case of inadvertent inguinal liposarcoma excision during hernia surgery in a 72-year-old male patient. Except for polyposis coli there were no further illnesses. Results After a minimal invasive transabdominal preperitoneal (TAPP) repair of a symptomatic inguinal hernia last year a persistent scrotal swelling developed. Computed tomography (CT) showed a protrusion of fatty tissue into the scrotal sac. Diagnosis of scrotal hernia was made. We performed an open Lichtenstein procedure. The final pathologic examination revealed a highly differentiated liposarcoma. Staging was completed and the case was presented to a multidisciplinary sarcoma tumor board at our institution. As recommended, a inguinal reoperation was performed with wide excision. Conclusions Although a very rare condition, spermatic cord liposarcoma should be considered as a possible differential diagnosis for inguinal hernia surgery.

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A new way of radical inguinal hernia surgery

Kazan medical journal ◽

10.17816/kazmj50738 ◽

1936 ◽

Vol 32 (9) ◽

pp. 1147-1147

Author(s):

Тг. Bona

Keyword(s):

Inguinal Hernia ◽

Spermatic Cord ◽

Soft Tissues ◽

Radical Surgery ◽

New Method ◽

Inguinal Ligament ◽

Hernia Surgery ◽

Hernial Sac ◽

Inguinal Hernia Surgery

Description of a new method of radical surgery for an inguinal hernia, which probably prevents, in A.'s opinion, the development of relapses and other complications after this city of operations (suppuration, hematomas). After the usual incision of the soft tissues parallel to the inguinal ligament, isolation of the spermatic cord and hernial sac, and resection of the latter, two rows of sutures are applied.

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Radical direct inguinal hernia surgery

Kazan medical journal ◽

10.17816/kazmj80542 ◽

2021 ◽

Vol 25 (11) ◽

pp. 1235-1235

Author(s):

I. Tsimkhes

Keyword(s):

Inguinal Hernia ◽

Inguinal Canal ◽

Fatty Tissue ◽

Purse String Suture ◽

Hernia Surgery ◽

Purse String ◽

Direct Inguinal Hernia ◽

Inguinal Hernia Surgery

E. Balogh (Zentrbl. F. Chir. No. 44/1929) suggests, when opening the inguinal canal, to dissect longitudinally the fascia transversa and separate it from all sides as far as possible from the underlying preperitoneal fatty tissue. Then, on the inside of the transverse fascia, apply a purse-string suture, removing the peritoneum with the instrument inward. Further, the operation ends, typically according to Basini.

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On the issue of radical inguinal hernia surgery

Kazan medical journal ◽

10.17816/kazmj50249 ◽

1936 ◽

Vol 32 (7) ◽

pp. 892-892

Author(s):

B. Ivanov

Keyword(s):

Inguinal Hernia ◽

Spermatic Cord ◽

Inguinal Canal ◽

Oblique Muscle ◽

Abdominal Muscles ◽

Hernia Surgery ◽

Internal Oblique Muscle ◽

Hernial Sac ◽

Inguinal Hernia Surgery ◽

Internal Oblique

Stiasnу, H. K Describes his method of radical inguinal hernia surgery, which he recommended for cases where a simple Bassi operation is not applicable due to the weakness of the fascia and abdominal muscles, to strengthen the weakest parts of the inguinal canal the lower inguinal triangle and the site of the spermatic cord exit , the hernial sac, after its isolation from the latter, is cut off as high as possible, and the cord after the incision of the internal oblique muscle of the abdomen is pushed upward at an angle of 45-90 .

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Radical operation of inguinal hernia by the method of Prof. I. A. Praxin

Kazan medical journal ◽

10.17816/kazmj77657 ◽

1927 ◽

Vol 23 (12) ◽

pp. 1229-1240

Author(s):

V. A. Astrakhansky

Keyword(s):

Inguinal Hernia ◽

Spermatic Cord ◽

Groin Pain ◽

The Other ◽

Radical Operation ◽

Hernia Surgery ◽

Anatomy And Physiology ◽

Other Hand ◽

Inguinal Hernia Surgery

Anatomical conditions play an important role in the results of any operation, including herniotomy. On the other hand, however, we see that whatever these conditions may be, the imperfection of some methods, e.g., the same Bascini method, remains unchanged. The frequent complaints of operated patients about heaviness in the groin, pain in the testicular and spermatic cord after operations performed lege artis according to this method convince us of this. All this prompts us to turn surgeons' attention to the method of inguinal hernia surgery, once proposed by the late Prof. I.A. Praxin, a method based on the idea of meeting all the requirements of anatomy and physiology, imitating nature itself in detail.

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Does Mesh Implantation Affect the Spermatic Cord Structures after Inguinal Hernia Surgery?

European Surgical Research ◽

10.1159/000079918 ◽

2004 ◽

Vol 36 (5) ◽

pp. 318-322 ◽

Cited By ~ 25

Author(s):

F.H. Berndsen ◽

L.-M. Bjursten ◽

M. Simanaitis ◽

A. Montgomery

Keyword(s):

Inguinal Hernia ◽

Spermatic Cord ◽

Hernia Surgery ◽

Mesh Implantation ◽

Inguinal Hernia Surgery

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Acute Osteomyelitis of the Symphysis Pubis after Inguinal Hernia Surgery

Case Reports in Rheumatology ◽

10.1155/2015/845867 ◽

2015 ◽

Vol 2015 ◽

pp. 1-3 ◽

Cited By ~ 1

Author(s):

Recep Tekin ◽

Rojbin Ceylan Tekin ◽

Figen Ceylan Cevik ◽

Remzi Cevik

Keyword(s):

Inguinal Hernia ◽

Rare Complication ◽

Rare Condition ◽

Pubic Symphysis ◽

Symphysis Pubis ◽

Acute Osteomyelitis ◽

Inflammatory Condition ◽

Hernia Surgery ◽

Inguinal Hernia Surgery ◽

Complication Of Surgery

Osteomyelitis of pubic symphysis is infectious inflammatory condition of the symphysis pubis and rare complication of surgery around inguinal and groin region. It should be kept in mind in the differential diagnosis of lower pelvic pain and should be sought in cases of pelvic insufficiency fractures. Herein, we present a case of a 55-year-old man with osteomyelitis of the symphysis pubis following inguinal hernia surgery for diagnosis and management of this rare condition.

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Amyand’s Hernia: A Rare Case Report

Berkala Kedokteran ◽

10.20527/jbk.v17i2.11677 ◽

2021 ◽

Vol 17 (2) ◽

pp. 159

Author(s):

Fadli Robby Amsriza ◽

Rizka Fakhriani

Keyword(s):

Inguinal Hernia ◽

Elective Surgery ◽

Correct Diagnosis ◽

Rare Condition ◽

Treatment Method ◽

Amyand’S Hernia ◽

Hernia Surgery ◽

Hernia Sac ◽

Inguinal Hernia Surgery ◽

The Right

Abstract: Amyand’s hernia is described in the inguinal hernia sac as being the presence of an appendix vermiformis. It is a rare condition the incidence is about 1 per cent of all inguinal hernias. It is often diagnosed incidentally during inguinal hernia surgery. The main treatment method of Amyand’s hernia is surgery. We report a case of 63 years old man who presented with right inguinal groin bulge for 1 month with the previous repaired right inguinal hernia 5 years ago. On clinical examination revealed a 6 cmx8 cm firm, nontender, irreponible mass in the right inguinal region. He was diagnosed as right sided irreponible inguinal hernia. He was undergoing the elective surgery. Intra-operative, the hernia sac was laterally found in the inferior epigastric vessels and separated from sperm cord to deep inguinal ring. The hernia sac was opened. A non-inflamed appendix was seen. Appendectomy was performed, and the hernia was repaired by Halsted’s repair. Amyand’s hernia is a rare condition. The correct diagnosis is usually made intraoperative. Keywords: Amyand’s hernia, appendectomy, hernia repair, inguinal hernia.

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