scholarly journals Non-Descended Testicle Presenting as an Inguinal Hernia

2020 ◽  
pp. 1-2
Author(s):  
Wouter J Bakker ◽  
C. V. van Hessen ◽  
J. P. J. Burgmans ◽  
W. D. Rinkel ◽  
Wouter J Bakker
Keyword(s):  
Inguinal Hernia ◽  
Groin Pain ◽  
Undescended Testis ◽  
Inguinal Canal ◽  
Preperitoneal Space ◽  
Indirect Inguinal Hernia ◽  
Left Testis ◽  
Left Groin ◽  
Case Presentation ◽  
Adult Men

Background: An inguinal hernia is one of the most common surgical diagnosis worldwide and the most frequent anomaly of the groin area. Cryptorchidism, the failure of the testes to descend into the scrotum, is also a prevalent congenital abnormality, with a reported incidence of 1% to 2% at 12 months of age. However, it is rarely diagnosed in adult men. Case Presentation: We present the case of a 63-year-old male who presented to the Emergency Department with severe left-sided groin pain since a couple of days. A bulge in the left groin was visibly obvious and was painful but reducible. An inguinal hernia was diagnosed, and since the patient had no previous (abdominal) surgery, he was scheduled for a totally extraperitoneal (TEP) endoscopic inguinal hernia repair. Per-operatively, an indirect inguinal hernia was initially seen; however, after further dissection and displacement of the peritoneal fold cranially, it became clear that the alleged hernia was the left testis situated in the preperitoneal space. The testis was surgically brought out through the inguinal canal. A preperitoneal mesh was placed. Conclusion: In case of a painful and reducible inguinal swelling that occurs in a patient with an empty hemiscrotum, surgeons must consider the possibility of an undescended testis.

scholarly journals The results of preperitoneal inguinal hernioplasty without fixation of the mesh endoprosthesis in the experiment.

2019 ◽  
Vol 12 (2) ◽  
pp. 97-101
Author(s):  
Anna Viktorovna Mokrova ◽  
Oleg Vladimirovich Zaitsev ◽  
Dmitry Anatolyevich Khubezov ◽  
Vladimir Alexandrovich Yudin ◽  
Sergey Vasilevich Tarasenko ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Inguinal Canal ◽  
Abdominal Cavity ◽  
Preperitoneal Space ◽  
Indirect Inguinal Hernia ◽  
Inguinal Hernioplasty ◽  
Experimental Development ◽  
Direct Inguinal Hernia ◽  
Significant Difference ◽  
Mesh Endoprosthesis

The purpose of the study is experimental development of preperitoneal inguinal hernioplasty with synthetic mesh, according assessment of the need of its fixation to the tissues. Materials and methods. An inguinal hernia was simulated on human cadaveric material. The study used 27 male corpses. Two inguinal hernias were modeled on one corpse: on one side - indirect, on the other - direct. A polypropylene mesh (standard density, 15 x 15 cm) was placed in the preperitoneal space. The endoprosthesis was impacted from the side of the abdominal cavity by a special designed device. The effect of a peak intra-abdominal pressure of 200 mm Hg was simulated. The degree of displacement of the reticular endoprosthesis into the inguinal canal was estimated at the moment of peak pressure on it from inside the abdominal cavity. For a simulated indirect inguinal hernia, two variants of the technique were considered: with fixation of the endoprosthesis to the underlying tissues and without fixation. For the modulated direct inguinal hernia, the following options were considered: non-fixative, with fixation at one point to the pubis and with plasty of the transverse fascia. Results. When modeling preperitoneal plasty of a direct inguinal hernia, there is a pronounced displacement of the endoprosthesis into the inguinal canal with a non-fixing plasty, unlike the method with transverse fascia plasty or fixation to the pubis. In indirect inguinal hernia, there was no significant displacement of the endoprosthesis in both considered variants. Conclusions. According to the obtained results, conclusions were drawn on the need for additional plasty of the transverse fascia or fixation of the endoprosthesis at a single point in a direct inguinal hernia. With indirect inguinal hernia in the experiment, no significant difference in the displacement of the mesh endoprosthesis into the inguinal canal was obtained with and without fixation.

scholarly journals Triorchidism: presenting as undescended testis in a case of indirect inguinal hernia

2016 ◽  
Vol 6 (2) ◽  
Author(s):  
Ajay H. Bhandarwar ◽  
Saurabh S. Gandhi ◽  
Chintan B. Patel ◽  
Amol N. Wagh ◽  
Virendra Gawli ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Undescended Testis ◽  
Vas Deferens ◽  
Recent Literature ◽  
Sperm Count ◽  
Semen Analysis ◽  
Indirect Inguinal Hernia ◽  
Left Testis ◽  
Ectopic Testis

Triorchidism is the commonest variety of polyorchidism, an entity with more than two testis is an extremely rare congenital anomaly of the testis. Although excision of the abnormal testis is a safer alternative proposed, recent literature suggests more conservative approach in normal testes with watchful regular follow up to screen for malignancy. This case presented as a left inguinal swelling diagnosed as indirect left inguinal hernia. The left side testis was of smaller size (about half) with normal sperm count, morphology and motility. Intraoperatively indirect inguinal hernia was noted with supernumerary testis at deep ring in addition to normal left testis in left scrotal sac. The ectopic testis were small (2.5×2.5×1 cm) lacking epididymis and with short vas deferens. An evident normal semen analysis and varied anatomy, the decision for orchidectomy of ectopic testis was taken. The histopathological finding was consistent with arrest in germ cell development.

scholarly journals Laparoscopic repair of femoral hernia involving the bladder with coexisting indirect inguinal hernia in a young man: a case report

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Ryoma Yokoi ◽  
Shigetoshi Yamada ◽  
Yuji Hatanaka ◽  
Hiroki Kato
Keyword(s):  
Inguinal Hernia ◽  
Femoral Hernia ◽  
Preperitoneal Space ◽  
Bladder Injury ◽  
Anatomical Landmarks ◽  
Indirect Inguinal Hernia ◽  
Case Presentation ◽  
Femoral Ring ◽  
Left Inguinal Region

Abstract Background Bladder hernias are rare conditions that are difficult to diagnose preoperatively; many cases are diagnosed intraoperatively or postoperatively due to bladder injury. Most bladder hernias are direct inguinal hernias that involve the bladder in obese men older than 50 years old. We describe a rare case of a left femoral hernia involving the bladder in a young man. Case presentation A 32-year-old man with a bulge in the left inguinal region underwent laparoscopic transabdominal preperitoneal repair. Laparoscopy revealed a left indirect inguinal hernia. When the preperitoneal space was dissected toward the Retzius space along the vesicohypogastric fascia, the bladder was found to be protruding into the femoral ring and adhere to the hernial orifice severely. The bladder was reduced carefully without causing injury. After dissection, we repaired the left myopectineal orifice with a mesh. The patient was discharged on postoperative day 1 without complications. No recurrences or symptoms were noted at the 12-month follow-up. Conclusions A femoral hernia involving the bladder in a young man is rare. This case demonstrated that dissection along anatomical landmarks is important for preventing injuries to the bladder because even young men may have bladder hernias.

A Clinical Study and Management of Inguino-scrotal Swellings In Children

2018 ◽  
Vol 2 (S1) ◽  
pp. e000125
Author(s):  
Khyati Vaja ◽  
Mukesh Suvera
Keyword(s):  
Inguinal Hernia ◽  
Pediatric Surgery ◽  
Pediatric Patients ◽  
Undescended Testis ◽  
Length Of Hospital Stay ◽  
Indirect Inguinal Hernia ◽  
Short Term ◽  
One Year ◽  
Groin Hernias ◽  
Inguinal Hernia In Children

Aims and Objectives: To know the most common surgical problems in pediatric patients presented with inguino-scrotal swellings and management done routinely. Methodology: This study was carried out in the department of general surgery, Sharadaben hospital and pediatric surgery of VS hospital, Ahmedabad. The cases were studied for a period of about one year (January, 2017 to Dec, 2017) and all children below 12 years of age, presenting to us with inguinoscrotal swellings were included in this study. The information was analysed in terms of age, diagnosis, procedure carried out and outcome. Results: Amongst the 150 children under the age of 12 years, 143 patients were males and 7 were females. Among these 150, 52 cases were of hydrocoele, 70 cases of hernia (of which 63 were males and 7 were females), 25 cases of undescended testis and 3 cases of epididymo orchitis were documented. All cases underwent simple herniotomy for hernia and hydrocoele, orchidopexy for undescended testis. The length of hospital stay ranged from 2-4 days with mean of 2.46 days. 11 children in the study were documented to have short term complications, all of which were recognised in the hospital and managed with good results. Conclusion: Hernia and Hydrocoele in children are often congenital and diagnosed clinically (history and examination). Indirect inguinal hernia are more common than other groin hernias. Open herniotomy is the operation of choice for inguinal hernia in children.

scholarly journals Pantaloon Hernia in a Female: A Rare Finding

2021 ◽  
Vol 3 (2) ◽  
pp. 1-2
Author(s):  
Onyeyirichi Otuu ◽  
Uche Emmanuel Eni ◽  
Callistus Ugochukwu Ndunaka ◽  
Nwanneka Louisa Kwentoh
Keyword(s):  
Inguinal Hernia ◽  
Correct Diagnosis ◽  
Posterior Wall ◽  
Uneventful Recovery ◽  
Indirect Inguinal Hernia ◽  
Left Groin ◽  
Epigastric Artery ◽  
Appropriate Treatment ◽  
Groin Swelling

The incidence of inguinal hernia in females is less compared to the males. Pantaloon hernia in females is even rarer and may be first diagnosed during surgery. We report a rare case of pantaloon hernia in a 60 year old female patient. She presented with reducible left groin swelling of 3 years duration and a clinical diagnosis of an indirect inguinal hernia made. A direct sac and an indirect sac were discovered at operation on both sides of the inferior epigastric artery. The posterior wall was repaired by Lichtenstein method. Patient made an uneventful recovery and there was no recurrence after 12 months of follow up. Though pantaloon hernia is rare in females, proper dissection, and identification of structure in the inguinal canal is necessary to make the correct diagnosis and to offer the appropriate treatment.

Desarda’s Repair Vs Lichtenstein Repair in Indirect Inguinal Hernia -Preferred technique

2021 ◽  
Vol 15 (12) ◽  
pp. 3225-3226
Author(s):  
Kamran Ali
Keyword(s):  
Inguinal Hernia ◽  
Wound Infection ◽  
Groin Pain ◽  
Controlled Trial ◽  
Cost Effective ◽  
Chronic Groin Pain ◽  
Indirect Inguinal Hernia ◽  
Lichtenstein Repair ◽  
Surgical Department ◽  
Group A

Aim: To compare the outcome of Desarda`s technique with that of Lichtenstein mesh hernioplasty in terms of chronic pain, recurrence and infection. Methods: A prospective comparative study with randomized controlled trial was conducted at Lahore General Hospital in Surgical Department to appraise the outcome of Desarda Hernioplasty in comparison with Lichtenstein Hernioplasty technique to evaluate recurrence, wound infection and chronic groin pain. The Desarda repair is used to treat inguinal hernia without the use of mesh. Results: Total sixty (n=60) patients were included in the study by dividing into two groups Group A and B with mean age 40.5 and 39.5 years for Desarda vs Lichtenstein groups correspondingly. Insignificant statistical difference was noted in both groups regarding wound infection but considerable statistical advantage was noted regarding recurrence and Chronic groin pain for Group A patients in comparison to Group B. Conclusion: We concluded that Desarda repair is emerging technique and cost effective with lesser pain, infection and recurrence than other techniques. Keywords: Desarda`s repair, Lichtenstein repair, wound infection, chronic groin pain and recurrence

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 Cook's Hernia: Renal Tumor Parasitic Vessels Herniating into Right Inguinal Canal

2020 ◽  
Vol 14 (3) ◽  
pp. 166-168
Author(s):  
Zac Taylor ◽  
Alexandra Brimley ◽  
McKay Meinzer ◽  
Craig Cook ◽  
Sean Henderson
Keyword(s):  
Inguinal Hernia ◽  
Renal Mass ◽  
Renal Tumor ◽  
Inguinal Canal ◽  
General Surgeon ◽  
Excessive Bleeding ◽  
Case Presentation ◽  
Tumor Vessels ◽  
Open Radical Nephrectomy ◽  
The Right

We report the incidental findings and management of a hernia whose contents included renal tumor parasitic vessels in a 52-year-old male who presented with a 22 cm large right renal tumor. His initial complaints were right sided fullness and hematuria. Incidentally on CT scan, the patient's large right renal mass was identified, as well as lower pole parasitic tumor vessels which were herniating into the patient's right inguinal canal. Parasitic tumor vessels are often found on larger obscure tumors. Few side effects or associated problems have been reported from issues with the parasitic vessels other than excessive bleeding. Never before, to our knowledge, has an inguinal hernia with renal mass parasitic vessels herniating into it been documented. We named the hernia after the general surgeon, Dr. Craig Cook, MD, FACS, who assisted during the open radical nephrectomy and who reduced and repaired the right inguinal hernia. We present a case presentation and treatment rationale for this tumor and associated parasitic vessels herniation, along with a brief re view of existing literature.

scholarly journals A case of peeping testis moving from the inguinal position into the abdomen

2020 ◽  
Vol 2020 (3) ◽  
Author(s):  
Yukihiro Tatekawa
Keyword(s):  
Preoperative Diagnosis ◽  
Undescended Testis ◽  
Inguinal Canal ◽  
Abdominal Cavity ◽  
Processus Vaginalis ◽  
Left Testis ◽  
Patent Processus Vaginalis

Abstract We report herein a 14-month-old boy with a left-sided peeping testis. At the age of 1 month, the left testis was palpated between the inguinal canal and the scrotum. When he was 6 months old, ultrasonography showed the left testis in the inguinal canal. At the age of 13 months, the left testis was not palpable. At the age of 14 months, he underwent surgery for a planned inguinal orchidopexy with a preoperative diagnosis of an undescended testis. When the inguinal canal was opened, a patent processus vaginalis was observed and the testis was found inside the abdominal cavity. The patent processus vaginalis was closed, a dartos pouch was created and the testis was guided into the pouch and fixed to its wall. We describe a case of a peeping testis moving from the inguinal position into the abdomen.

scholarly journals A case report of Amyand hernia—radiological diagnosis and literature review

2020 ◽  
Vol 51 (1) ◽  
Author(s):  
Mohamed rafi Kathar hussain ◽  
Kulasekeran N
Keyword(s):  
Case Report ◽  
Inguinal Hernia ◽  
Malignant Melanoma ◽  
Connective Tissue ◽  
Inguinal Canal ◽  
Common Type ◽  
Melanoma Metastasis ◽  
Case Presentation ◽  
Amyand Hernia

Abstract Background The hernia is defined as the protrusion of any organ or a part of it through the wall or fascia or any connective tissue which normally encloses that organ. Among the hernias, an inguinal hernia is the most common type. In the inguinal hernia, Amyand hernia is one of the rare types, in which the appendix will herniate through the inguinal canal. The incidence of Amyand hernia is less than 1% (Namdev et al., Int Surg J 7:2072, 2020). Case presentation We are reporting a case of Amyand hernia, which was diagnosed incidentally in the patient who had been referred to computerized tomography (CT) for a malignant melanoma metastasis screening. Our case is unique in that pre-operative diagnosis of the Amyand hernia is rarely reported in the literature. We can diagnose the type 1 Amyand hernia with utmost confidence. Conclusion Pre-operative diagnosis of type 1 Amyand hernia can be made with utmost certainty by CT.

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