Recurrence of an inguinal hernia containing the dome of the bladder following laparoscopic repair with mesh: A case report.

Autor: Konik RD; Department of Surgery Northside Medical Center, 500 Gypsy Lane, Youngstown, OH 44501, United States. Electronic address: rkonik@neomed.edu., Narh-Martey P; Department of Surgery Northside Medical Center, 500 Gypsy Lane, Youngstown, OH 44501, United States., Bogen G; Department of Surgery Northside Medical Center, 500 Gypsy Lane, Youngstown, OH 44501, United States.
Jazyk: angličtina
Zdroj: International journal of surgery case reports [Int J Surg Case Rep] 2016; Vol. 25, pp. 218-20. Date of Electronic Publication: 2016 Jul 01.
DOI: 10.1016/j.ijscr.2016.06.050
Abstrakt: Introduction: A sliding hernia is a rare type of inguinal hernia in which the hernia sac is partially formed by the wall of a viscus, such as the sigmoid colon, bladder, cecum, or appendix. Sliding hernias involving the bladder often present with obstructive urinary symptoms that could potential lead to serious complications.
Case Presentation: In this case, we present a 37-year-old male with a recurrent sliding hernia containing the dome of the bladder after prior laparoscopic repair of a direct inguinal hernia with mesh.
Discussion: A TAPP approach is preferred over a TEP approach in the laparoscopic repair of a sliding hernia; however, an open Lichenstein repair should be used in cases of recurrent hernias with severe complications, such as extensive adhesions or incarceration.
Conclusion: The surgical approach for repair of a sliding hernia must be individualized based on the patient's clinical presentation and diagnostic findings.
(Copyright © 2016 The Authors. Published by Elsevier Ltd.. All rights reserved.)
Databáze: MEDLINE