scholarly journals Missed Lipoma of the Spermatic Cord

2013 ◽  
Vol 114 (1) ◽  
pp. 5-8 ◽  
Author(s):  
Oktay Yener ◽  
M. Demir ◽  
R. Yiğitbaşı ◽  
A. Yilmaz
Keyword(s):  
Inguinal Hernia ◽  
Spermatic Cord ◽  
Open Repair ◽  
Inguinal Canal ◽  
Round Ligament ◽  
Adequate Treatment ◽  
Inguinal Hernias

The aim of the research was to determine the incidence, significance, and anatomy of spermatic cord and round ligament lipomas. Between 2000 and 2010 we evaluated 969 consecutive patients with 1,070 indirect inguinal hernias, who underwent open repair.  A total of 22 lipomas of the spermatic cord or round ligament were identified and resected in 22 patients. No neoplastic changes confirmed in histopathologic examinations of the specimens were reported. Lipomas of the cord and round ligament occur with a considerable incidence. We believe that even if there is no peritoneal sac, the herniation of extraperitoneal fat through the inguinal canal should be counted as an inguinal hernia, and it requires adequate treatment.

Surgical treatment of inguinal hernia in childhood

1927 ◽  
Vol 23 (9) ◽  
pp. 972-972
Author(s):  
I. Tsimkhes
Keyword(s):  
Early Childhood ◽  
Inguinal Hernia ◽  
Surgical Treatment ◽  
Inguinal Canal ◽  
Older Children ◽  
Processus Vaginalis ◽  
Hernia Sac ◽  
Absolute Certainty ◽  
Inguinal Hernias

The author finds that the number of inguinal hernias in early childhood, due to incomplete overgrowth of the processus vaginalis peritonei, greatly prevails over the number of the same in older children. Some of these hernias heal spontaneously due to overgrowth of proc. vaginalis and lengthening of the inguinal canal itself. Bandage treatment, even in the most cultured setting, cannot guarantee with absolute certainty the budding of the hernia sac.

scholarly journals Topographic and Anatomical Evaluation of the Effectiveness of Various Methods Reducing the Height of the Inguinal Space Used in Hernioplasty for Inguinal Hernias

2018 ◽  
Vol 7 (2) ◽  
pp. 95-98
Author(s):  
A. V. Chernykh ◽  
E. I. Zakurdaev ◽  
A. M. Zaytseva
Keyword(s):  
Inguinal Hernia ◽  
Spermatic Cord ◽  
Inguinal Canal ◽  
Anatomical Study ◽  
Exclusion Criteria ◽  
Triangular Form ◽  
Safe Method ◽  
Before And After ◽  
Male Subjects ◽  
Relaxing Incisions

Purpose - to evaluate efficiency of different methods reducing height of the inguinal canal with apply in inguinal hernia repair in randomized topographic anatomical study. Material and methods. The randomized topographic anatomical study was performed on 24 unfixed cadavers of male subjects who died at the age of 50.2±6.8 years. The criterion for inclusion in the study was a triangular form of the inguinal canal with a height 2-3 cm. Postoperative cicatrices in the inguinal region, signs of the inguinal hernia and lipoma of the spermatic cord were exclusion criteria. We determined the height of the inguinal canal before and after apply different methods for reducing of this parameter. Results. The dynamic of decrease of the height of the inguinal canal in case apply new method was 30% (from 2.3±0.3 to 1.6±0.2 cm). This result is comparable with the relaxing incision by C. B. MacVay (32%; 2.2±0.4 to 1.5±0.5 cm) and it is larger than the relaxing incisions by R. I. Venglovsky (25%; 2.4±0.2 to 1.8±0.4 cm) and M. M. Ginsberg (14%; 2.2±0.4 to 1.9±0.3 cm). In this case, to apply the performed method compared to relaxing incisions does not destruction of the anterior rectus and appearance of the new hernia portal in the abdominal wall. Conclusion. The developed method of reducing height of the inguinal canal is recommended for approbation in clinical practice because it is effective and safe method.

On the issue of radical inguinal hernia surgery

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 .

scholarly journals Inguinal canal spermatic cord leiomyoma presenting as an incarcerated inguinal hernia

2017 ◽  
pp. bcr-2016-218082
Author(s):  
Marijan Koprivanac ◽  
Steven D Billings ◽  
Vadim Khachaturov ◽  
Gareth Morris-Stiff
Keyword(s):  
Inguinal Hernia ◽  
Spermatic Cord ◽  
Inguinal Canal ◽  
Incarcerated Inguinal Hernia

Prospective study to evaluate the value of Identification of nerves crossing inguinal canal during inguinal mesh hernioplasty

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Ayman Abdullah Abdraboh ◽  
Ramy Fouad Hafez ◽  
Mohammed Elsayed Youssef Abozeid
Keyword(s):  
Inguinal Hernia ◽  
Groin Pain ◽  
Open Repair ◽  
Inguinal Canal ◽  
Surgical Techniques ◽  
Inguinal Hernioplasty ◽  
Open Inguinal Hernia Repair ◽  
Nerve Identification ◽  
Mesh Hernioplasty

Abstract Background Long-term morbidity associated with open inguinal hernia repair mainly consists of postoperative chronic pain. The mechanism responsible for the development of this postoperative pain is thought to be the entrapment, inflammation, and fibrotic reactions of the nerve around the mesh. Aim of the Work To analyse and provide comprehensive data on their incidence (identification rates), anatomical characteristics, and possible sources of heterogenecity, to decrease the risk of iatrogenic injury/ entrapment to these nerves during inguinal hernioplasty. Patients and Methods This study identified 40 patients who underwent inguinal hernia repairs with either routine repair or nerve identification and preservation. As several studies point out, a nerve-recognizing procedure is a logical step for minimizing postoperative groin pain. Such an approach can be advocated for two reasons: identification of the nerves for preservation or for performing standard neurectomy in case of interference with the position of the mesh. Results In the present study, there was no difference in pain scorings at one or 3-months after repair between different surgical techniques in patients undergoing open repair of a primary inguinal hernia. In present work, in addition to identifying and preserving all neural structures, specific maneuvers have been adopted for preventing postherniorrhaphy inguinodynia Conclusion The results indicated that routine nerve identification and preservation was associated with a significantly lower incidence of postoperative neuralgia compared with no nerve identification.

scholarly journals SCIENTIFIC STUDY OF VITAP MARMA

2021 ◽  
Vol 9 (12) ◽  
pp. 3017-3020
Author(s):  
Rajesh Kumar ◽  
Mahesh Kumar ◽  
Santosh Kumar Singh ◽  
Gupta S.S.
Keyword(s):  
Inguinal Hernia ◽  
Spermatic Cord ◽  
Inguinal Canal ◽  
Clinical Importance ◽  
Signs And Symptoms ◽  
The Body ◽  
Posterior Aspect ◽  
Indirect Injury ◽  
Injury Causes

Marma is a vital point of the body where trauma or injury may cause a various range of signs and symptoms from Ruja (pain) to even death. Ayurvedic Acharya’s has explained 107 Marma” that are present in the anterior and posterior aspect of the human body. Depending upon the effect of injury on Marma is five types like Sadhyo pranhara, Kalantara pranhara, Vishlyaghna, Vaikalykara & Rujakara Marma. Out of them, Vaikalykar Marma are the points where an injury causes structural or functional deformity. Another type of classification of Marma has also been made as Mamsa (muscle) marma, Sira (artery/vein) marma, Snayu (ligament) marma, Asthi (bone) marma and Sandhi (joint) marma. The Vitap Marma is placed under the Snayu Marma by Acharya Sushrut and Sira Marma by Acharya Vaghbhata. Vitap Marma is situated between Vankshan (Groin) and Vrishna (Testes) and the Viddha lakshan (symptoms of trauma) is Shandata (impotency) and Alpashukrata (oligospermia). The struc- ture present at this point is the inguinal canal. The clinical importance of the inguinal canal is related to the inguinal hernia. Direct or indirect Injury at this particular point affects the physiology of the reproductive system and may cause sterility, which is similar to Viddha lakshan of Vitap marma as described by Sushrut. Keywords: Vitap marma, Vaikalyakar marma, Inguinal canal, Spermatic cord, round ligament

scholarly journals Diagnosis of Ovary-Containing Indirect Inguinal Hernia of the Canal of Nuck by Ultrasound

2017 ◽  
Vol 7 (1) ◽  
pp. 39-41
Author(s):  
Khaleda Parvin Rekha ◽  
Sohel Abdullah ◽  
Mashah Binte Amin
Keyword(s):  
Blood Flow ◽  
Inguinal Hernia ◽  
Inguinal Canal ◽  
Color Doppler ◽  
Rare Condition ◽  
Round Ligament ◽  
Parietal Peritoneum ◽  
Indirect Inguinal Hernia ◽  
Processus Vaginalis ◽  
Canal Of Nuck

In women, the round ligament is attached to the uterus near the origin of the fallopian tube, and a small evagination of parietal peritoneum accompanies the round ligament through the inguinal canal to the labium majorum. This small evagination of parietal peritoneum, named the canal of Nuck in women, is the equivalent of the processus vaginalis in men. Incomplete obliteration of the processus vaginalis causes indirect inguinal hernia or hydrocele of the canal of Nuck, a very rare condition in women. Here, we report a case of ovary-containing hernia of the canal of Nuck that was diagnosed with ultrasonography and was surgically confirmed. Gray scale and color Doppler ultrasonographic features studied were: the site and the size of the hernia, the texture of the hernia contents and the presence or absence of blood flow in the hernia contents.J Enam Med Col 2017; 7(1): 39-41

scholarly journals Cyst of Canal of Nuck in a 62-Year-Old Woman: Case Report of a Rare Disease

2020 ◽  
pp. 1-5
Author(s):  
Livia Bressan ◽  
Barbara Pozzetto ◽  
Bussani Rossana ◽  
Livia Bressan ◽  
Marina Bortul ◽  
...  
Keyword(s):  
Spermatic Cord ◽  
Inguinal Canal ◽  
Rare Condition ◽  
Round Ligament ◽  
First Year ◽  
Female Development ◽  
Prolene Mesh ◽  
Case Presentation ◽  
Canal Of Nuck ◽  
First Year Of Life

Introduction: Cyst of Nuck in women is a rare development disorder corresponding to hydrocoele of the spermatic cord in males; it can be associated with inguinal hernia in 30-40% of cases. Only 400 cases have been described in literature and in there are no older than 50. Case Presentation: A 62-year-old presented a right aching inguinal swelling. On physical examination the mass was not reducible, without signs of incarceration or strangulation. On ultrasound the lesion was mostly hypoechoic. CT saw an over liquid lesion, confirmed on MRI as a lesion hypointense in T1 and hyperintense in T2. The patient underwent open surgery: the cyst was separated from the round ligament and excised in mass and the defect was repaired with a prolene mesh. The histopathological exam confirmed the hydrocoele (calretinin positive, mesothelial cells on the inner surface). Discussion: The canal of Nuck is a small evagination of the parietal peritoneum that accompanies the round ligament into the inguinal canal during the first year of female development and is normally obliterated in the first year of life. Failure of obliteration of Nuck canal results in a hydrocoele that could develop intraabdominal or extra – abdominal or both. Ultrasound shows a thin walled, well defined, echo free cystic structure but the perfect diagnosis is given by MRI. Therapy is surgical and it can be open or, more recently, laparoscopic, depending on the expertise of the surgeon. Conclusion: A cyst of Nuck is a rare condition but it should always be considered in differential diagnosis of cystic inguinal lumps in women. Most of the reported cases concern children and young men. To our knowledge this is the only case regarding a more than 50-year-old.

scholarly journals Surgical Management of Inguinal Hernia in A Kid

2020 ◽  
pp. 251-254
Author(s):  
Arundhathi U ◽  
Farhan Farhan ◽  
Ranjith Mohan M
Keyword(s):  
Inguinal Hernia ◽  
Surgical Management ◽  
Clinical Examination ◽  
Inguinal Canal ◽  
Inguinal Region ◽  
Abdominal Organ ◽  
Complete Reduction ◽  
Inguinal Hernias ◽  
Hernia Inguinal ◽  
Left Inguinal Region

Protrusion of an abdominal organ through the inguinal canal is called inguinal hernia. Inguinal hernias are less frequent in ruminants. A two month old female cross bred kid was presented with soft swelling in the left inguinal region. Clinical examination revealed that unilateral reducible inguinal hernia. Herniorraphy resulted in complete reduction of the hernia.

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