scholarly journals Large inguinoscrotal hernia containing ureter: reminder to General Surgeons

2020 ◽  
Vol 2020 (5) ◽  
Author(s):  
Han N Beh ◽  
Yuni F Ongso

Abstract Inguinal hernia is a common general surgery presentation. Large inguinoscrotal hernias can contain large bowel, omentum, small bowel, Meckel’s diverticulum but rarely ureter and bladder. Ultrasound can further clarify contents of inguinal hernia, and for this patient, it showed a cystic structure in the hernia contents. This was further investigated and found to be the left ureter with moderate to severe hydronephrosis. The patient underwent left inguinal hernia repair without any complication because of the anticipated anatomical anomaly. This case is to raise awareness that a simple inguinoscrotal hernia repair could be complicated by ureteric injury if not investigated thoroughly in the preoperative stage.

2021 ◽  
pp. 118-123
Author(s):  
M.KH. MALIKOV ◽  
◽  
F.SH. RASHIDOV ◽  
F.B. BOKIEV ◽  
F.M. KHAMIDOV ◽  
...  

9 children aged 4 to 14 years underwent a right-sided inguinal hernia repair, at the same time, a vermiform appendix was found in the hernial sac. All patients were hospitalized with a diagnosis of «Congenital right-sided inguinoscrotal hernia», bilateral hernias were not observed. Objectively, there were all signs of the disease, all hernias were reducible. The presence of the appendix in the hernial sac before the operation was not diagnosed either clinically or by ultrasound. The contents of the hernial sac had a thickened and long vermiform appendix, a greater omentum, and in two cases – a cecum of the type of sliding hernia. The children were operated on under general anesthesia: appendectomy and plastic surgery of posterior wall of inguinal canal were performed. No complications were observed in the postoperative period.


Hernia ◽  
2005 ◽  
Vol 10 (2) ◽  
pp. 162-168 ◽  
Author(s):  
A. I. Gilbert ◽  
M. F. Graham ◽  
J. Young ◽  
B. G. Patel ◽  
K. Shaw

2008 ◽  
Vol 18 (3) ◽  
pp. 373-376 ◽  
Author(s):  
Haggi Mazeh ◽  
Nahum Beglaibter ◽  
Ronit Grinbaum ◽  
Yaacov Samet ◽  
Mahmoud Badriyyah ◽  
...  

2020 ◽  
Vol 86 (1) ◽  
pp. 14-16
Author(s):  
Monica K. Zipple ◽  
Brittany Bankhead-Kendall ◽  
Mikhail D. Roy ◽  
Bashar Yaldo

2020 ◽  
pp. 155335062096534
Author(s):  
Francesco Corcione ◽  
Vania Silvestri ◽  
Giovanni Merola ◽  
Michele Dambra ◽  
Ruggero Lionetti ◽  
...  

Background. Microsurgery has quickly become the “gold standard” approach for vascular surgical steps during neurosurgery. However, despite its advantages, the microscope has not been widely adopted in general surgery. A new 3D‐surgical exoscope, the ORBEYETM, has been developed and introduced to some surgical specialties. Herein, we present our preliminary experience with the ORBEYETM exoscope as applied to a number of general surgical procedures. Method. Throughout February 2020, 7 patients had undergone varying surgical procedures at our institute utilizing the ORBEYETM in some of specific procedural steps where the surgeons felt that the surgery would benefit from more enhanced magnification. Upon completion, all the surgeons who had taken part in the procedure were asked if they had experienced any nausea, dizziness, or eyestrain during its use. Results. The ORBEYETM was employed in a number of surgical steps for the following procedures: throughout an inguinal hernia repair, during a duodeno-cephalo-pancreatectomy, for a subtotal gastrectomy, during para-aortic mass dissection, and during Ivor Lewis procedure. None of the surgeons involved in the procedures reported experiencing any nausea, dizziness nor eyestrain, nor any other physical discomforts. Conclusion. To the best of our knowledge, ours is the very first report on the employment of the ORBEYE exoscope during general surgery. Our experience assures us that this highly ergonomic technology with its high-resolution 4K 3D optical system allows the surgeon to perform safe and precise surgery in several dedicated steps in which adequate magnification is required with no adverse effects to the surgeon or the surgical procedure itself.


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