Inguinoscrotal hernia containing the urinary bladder successfully repaired using laparoscopic transabdominal preperitoneal repair technique: A case report

Abstract

We report herein a patient with an inguinoscrotal hernia containing the urinary bladder. The hernia was safely repaired using the laparoscopic transabdominal preperitoneal repair technique. A 76-year-old man was admitted to our hospital with abdominal pain, vomiting, and diarrhea. His scrotum was swollen to fist size. Abdominal CT showed herniation of the sigmoid colon and the bladder into the right inguinal region, and his abdominal pain was attributed to incarceration of the sigmoid colon; this was manually reduced. About 1 month later, we performed transabdominal preperitoneal repair. After the direct hernial orifice was identified, the bladder was noted to be sliding from the medial side of the hernia; this was reduced. Peeling on the medial side was carried out to the middle of the abdominal wall, and the myopectineal orifice was covered with mesh. The patient was discharged on postoperative day 1.

Laparoscopic Repair for Recurrent Bilateral Inguinal Bladder Hernia following Bilateral Transabdominal Preperitoneal Repair

“…In our case, frequent voiding was the main symptom due to bladder herniation. To the best of our knowledge, some case reports about unilateral and bilateral bladder hernias were found [4, 5]; however, this is the first case report concerning a recurrent bilateral inguinal bladder hernia following B-TAPP and repaired by median TAPP.…”

Large extraperitoneal inguinal bladder hernia causing urinary retention

“…However, resection is reserved in cases with bladder strangulation, necrosis, presence of diverticulum or rarely a bladder tumour. The procedure can be done open or using minimally invasive approaches such as Laparoscopic total extraperitoneal, transabdominal preperitoneal or robotic repair, all of which have been previously reported 7–9 . Catheterization of the bladder has been reported to minimize incurring inadvertent injury to the bladder wall.…”

“…The procedure can be done open or using minimally invasive approaches such as Laparoscopic total extraperitoneal, transabdominal preperitoneal or robotic repair, all of which have been previously reported. [7][8][9] Catheterization of the bladder has been reported to minimize incurring inadvertent injury to the bladder wall. A multidisciplinary approach with both the general surgical and urology team involved is important to ensure favourable outcomes.…”