Review with video of a laparoscopic transabdominal preperitoneal (TAPP) repair for giant inguinoscrotal hernia

Caruso, Riccardo; Vicente, Emilio; Quijano, Yolanda; D’Ovidio, Angelo; Ielpo, Benedetto; Ferri, Valentina

doi:10.1016/j.ijscr.2020.10.063

Cited by 3 publications

(5 citation statements)

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“…According to these reports, 7 out of 13 (53.8%) patients developed postoperative scrotal fluid collections after laparoscopic TAPP for GISHs. However, all patients except for one who required a puncture three times, recovered without an invasive procedure [2,[5][6][7]. These findings suggest that scrotal fluid collection was a recoverable complication, whereas an anterior approach is superior in preventing scrotal fluid collection to laparoscopic TAPP.…”

Section: Discussionmentioning

confidence: 85%

“…Moreover, Cavalli et al have documented the recurrence rate via anterior approach after GISH as high as 30% [ 9 ]; however, there have been no reports focused on recurrence of laparoscopic TAPP after GISH. We considered that laparoscopic TAPP had a great advantage in directly inspecting the hernia orifice followed by properly covering it with a prosthetic mesh (depending on the size of hernia orifice) over anterior approach [ 2 , 6 ]. Hence, we regarded laparoscopic TAPP as an optimal procedure for GISH and usual inguinal hernia at our institution.…”

Section: Discussionmentioning

confidence: 99%

“…The walls of the hematocele were thickened with an anterior approach for GISH had a delayed scrotal hematocele, necessitating reoperation 6 months after the surgery, and 15 of 71 (21%) patients had postoperative scrotal fluid collections (seroma/hematocele) [15]. In contrast, there have only been four reports so far since 2011 [2,[5][6][7]. According to these reports, 7 out of 13 (53.8%) patients developed postoperative scrotal fluid collections after laparoscopic TAPP for GISHs.…”

Section: Discussionmentioning

confidence: 99%

“…However, the efficacy to prevent recurrence via the anterior approach for GISH has not been yet established. On the other hand, the International Endohernia Society guidelines (IEHS) weakly recommended performing laparoscopic transabdominal preperitoneal repair (TAPP) as a possible therapeutic option in inguinoscrotal hernias [4], and reports of laparoscopic surgery for GISHs have increased with the advances in laparoscopic procedures and surgical devices [2,[5][6][7]. However, the general agreement on performing laparoscopic surgery for GISH has not yet been established.…”

Section: Introductionmentioning

confidence: 99%

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Orchiectomy due to delayed severe scrotal hematocele after laparoscopic transabdominal preperitoneal repair for a giant inguinoscrotal hernia: a case report

et al. 2022

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Background A giant inguinoscrotal hernia is a rare inguinal hernia that extends below the midpoint of the inner thigh while standing. Although reports of laparoscopic surgery for giant inguinoscrotal hernias have increased, the risk of delayed hematocele has not yet been clarified. Case presentation A 68-year-old man was evaluated for a left giant inguinoscrotal hernia, and laparoscopic transabdominal preperitoneal repair (TAPP) was performed. In the procedure, the distal hernia sac was not resected. The postoperative course was uneventful for 3 months postsurgery, after which he complained of giant scrotal swelling, which gradually grew to 13 cm. It did not improve with several punctures and caused dysuria because of increased pressure on the urethra. Thus, reoperation was performed 9 months after surgery. The hematocele consisted of a thickened hernia sac, which was tightly adhered to the spermatic cord and testicle. The hernia sac including the hematocele was removed from the scrotum through an anterior approach, preserving the spermatic cord and testicle. On the third postoperative day, an orchiectomy was performed due to poor testicular perfusion caused by spermatic cord injury. There was no hematocele or hernia at the 3-year follow-up. The remnant sac after laparoscopic TAPP for a giant inguinoscrotal hernia possibly caused refractory hematocele. Additionally, the removal of the hernia sac, including hematocele, from the spermatic cord and testicle has a risk of inducing injury, leading to orchiectomy. Conclusion Surgeons should be aware of the possibility of delayed refractory hematoceles after laparoscopic TAPP for giant inguinoscrotal hernias when the hernia sac is not resected.

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Section: Discussionmentioning

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Orchiectomy due to delayed severe scrotal hematocele after laparoscopic transabdominal preperitoneal repair for a giant inguinoscrotal hernia: a case report

et al. 2022

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“…algunos casos, tales como recién nacidos o lactantes, se prefiere esperar al año, sobre todo si hay presencia de infecciones o malformaciones congénitas asociadas o en pacientes pretérmino o con muy bajo peso al nacer. (16)(17)(18)(19)(20) Existen numerosas técnicas quirúrgicas para la hernia inguinal en la niñez, pero la de Potts Colles es la más utilizada durante décadas con excelentes resultados. Esta técnica quirúrgica consiste en inguinotomía transversal por planos, hasta localizar el saco herniario.…”

Section: Complicaciones De La Hernia Inguinal O Inguinoescrotalunclassified

Hernia inguinal en la infancia

Medina¹,

Ramos²,

Palma³

et al. 2023

Afecciones Clínico-Quirúrgicas Frecuentes en La Infancia

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hidroaéreos y, en ausencia de complicaciones, se puede reducir de forma manual con facilidad a la cavidad abdominal.El hecho de que sea la hernia inguinal la cirugía más frecuente que enfrenta el cirujano pediátrico durante su práctica habitual hace notar la importancia de conocer el manejo adecuado de esta afección para garantizar así una evolución favorable, sin complicaciones añadidas. Palabras clave: síndrome herniario, conducto peritoneo-vaginal, cirugía electiva, pediatría AbstractInguinal hernia in the pediatric age group is the reason for the greatest number of programmed and elective surgeries. This health problem affects 1-7% of the pediatric population; it predominates in males and can be unilateral or bilateral, although it is more frequent on the right side. It can be diagnosed at birth or later, at any age.Also known as inguino-scrotal hernia, it is congenital in infancy: when the peritoneo-vaginal duct -the structure that connects the abdomen with the inguinal region and which normally should close at birth-does not close properly, the abdominal viscera and structures pass into the inguinal or scrotal region, thus forming the hernia. It is characterized by a non-painful increase in volume in this region, which increases with coughing, physical exertion and crying; it is less evident and even disappears when the patient is lying down.On physical examination of the inguinal or inguinoscrotal region, a rounded protrusion with a smooth, non-painful surface, which is not radiolucent in the presence of light, is evident. When the hernia reaches a large size, it is possible to auscultate hydroaerial sounds and, in the absence of complications, it can be easily reduced manually into the abdominal cavity through the deep inguinal ring.The fact that inguinal hernia is the most frequent surgery encountered by the pediatric surgeon during his routine practice highlights the importance of knowing the proper management of this condition to ensure a favorable evolution, without added complications.

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Progress in the Surgical Treatment of Giant Inguinal Scrotal Hernia

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2022

ACM

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Review with video of a laparoscopic transabdominal preperitoneal (TAPP) repair for giant inguinoscrotal hernia

Cited by 3 publications

References 12 publications

Orchiectomy due to delayed severe scrotal hematocele after laparoscopic transabdominal preperitoneal repair for a giant inguinoscrotal hernia: a case report

Orchiectomy due to delayed severe scrotal hematocele after laparoscopic transabdominal preperitoneal repair for a giant inguinoscrotal hernia: a case report

Hernia inguinal en la infancia

Progress in the Surgical Treatment of Giant Inguinal Scrotal Hernia

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