Method of internal drainage of seroma after hernioplasty

A method for allohernioplasty of indirect inguinal hernia has been developed, in which an additional layer consisting of the peritoneum of the hernial sac is formed between the spermatic cord and the mesh. The peritoneal flap prevents direct contact between the mesh and the spermatic cord and ensures rapid absorption of inflammatory serous fluid. The manifestations of implant-associate inflammation of the spermatic cord and persistent seromas decrease in the tissues. The method was applied in 25 patients in the period from 2017 to 2021.

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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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Modified Lichtenstein Hernia Repair with Invagination of Inguinal Hernial Sac in Comparison with Ligation and Excision in Indirect Inguinal Hernia

New Indian Journal of Surgery ◽

10.21088/nijs.0976.4747.11320.15 ◽

2020 ◽

Vol 11 (3) ◽

pp. 353-358

Author(s):

S N Shirbur

Keyword(s):

Inguinal Hernia ◽

Hernia Repair ◽

Indirect Inguinal Hernia ◽

Hernial Sac ◽

Lichtenstein Hernia Repair

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LIPOSARCOMA OF SPERMATIC CORD PRESENTING AS INDIRECT INGUINAL HERNIA- A RARE CASE REPORT

Journal of Health and Allied Sciences NU ◽

10.1055/s-0040-1703524 ◽

2011 ◽

Vol 01 (01/03) ◽

pp. 63-65

Author(s):

Padma Shetty K. ◽

Harish S. Permi ◽

Michelle Mathias ◽

Kishan Prasad ◽

Teerthanath S. ◽

...

Keyword(s):

Case Report ◽

Inguinal Hernia ◽

Spermatic Cord ◽

Rare Case ◽

Surgical Excision ◽

Myxoid Liposarcoma ◽

Clinical Findings ◽

Inguinal Region ◽

Indirect Inguinal Hernia ◽

Rare Case Report

AbstractLiposarcoma in the inguinal region though rare are clinically significant lesions. Preoperative diagnosis is difficult since the clinical findings are very similar to that of inguinal hernia. We report a rare case of Liposarcoma of the spermatic cord in 85 year old male, clinically diagnosed as left sided indirect inguinal hernia. Surgical excision specimen showed multiple globular lipomatous masses which were yellowish and grey tan with areas of myxoid degeneration and necrosis seen. Microscopic examination showed adipocytes arranged in lobules with numerous blood vessels, lipoblasts and myxoid stroma confirming the diagnosis of myxoid liposarcoma. He is on regular follow up since two years without any recurrence or metastasis. Our case report highlights the importance of sampling and examination of fatty masses in the inguinal region to rule out the possibility of liposarcoma as they are mistaken for lipoma at surgery.

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"Lipoma" of the Spermatic Cord: Potential Relationship to Indirect Inguinal Hernia in Adults

Archives of Surgery ◽

10.1001/archsurg.1979.01370280203038 ◽

1979 ◽

Vol 114 (4) ◽

pp. 549 ◽

Cited By ~ 6

Author(s):

NORMAN ROSENBERG

Keyword(s):

Inguinal Hernia ◽

Spermatic Cord ◽

Indirect Inguinal Hernia ◽

Potential Relationship ◽

Cord Potential

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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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A randomised controlled trial of excision versus invagination in the management of indirect inguinal hernial sac

Annals of The Royal College of Surgeons of England ◽

10.1308/rcsann.2018.0160 ◽

2019 ◽

Vol 101 (2) ◽

pp. 119-122

Author(s):

M Sharma ◽

OP Pathania ◽

A Kapur ◽

S Thomas ◽

A Kumar

Keyword(s):

Inguinal Hernia ◽

Postoperative Pain ◽

Testicular Atrophy ◽

High Ligation ◽

Indirect Inguinal Hernia ◽

Tension Free ◽

Hernial Sac ◽

Significant Difference ◽

Group A ◽

Group B

Introduction Lichtenstein tension-free mesh hernioplasty of primary inguinal hernia is currently considered as the preferred method for the plastic reconstruction of inguinal hernia by the majority of surgeons. Several studies have examined the best way to manage the hernial sac in this surgery, but no consensus has been reached. This study was designed to compare the effects of excision of sac and invagination of sac on post-operative outcomes. Methods and methods This prospective randomised study included a total of 70 patients with primary unilateral uncomplicated indirect inguinal hernia. Group A (35 patients) underwent high dissection and invagination of the hernial sac and group B (35 patients) underwent high ligation and excision of the hernial sac. The repair of the posterior wall of the inguinal canal was done according to Lichtenstein tension-free technique. The primary outcome of this study was postoperative pain and secondary outcomes were wound infection, chronic sepsis, sinus formation, persistent pain, testicular atrophy and recurrence during the one-year follow-up period. Results There was a significant difference (P < 0.01) in pain experienced by the patients in the immediate post-operative period between the two groups; group A experienced less postoperative pain than group B. There was no significant difference in incidence of infection between the groups. Conclusions Invagination of the sac results in less postoperative pain compared with excision, with no significant difference in other postoperative outcomes.

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