Laparoscopic totally extraperitoneal repair for recurrent inguinal bladder hernia: A case report

IF 0.9 Q4 ORTHOPEDICS Asian Journal of Endoscopic Surgery Pub Date : 2024-07-02 DOI:10.1111/ases.13352
Yuto Kitano, Koji Okamoto, Tatsuya Aoki, Kazuhide Watanabe, Akira Takehara, Kazushige Shibahara
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Abstract

We present a case of a recurrent inguinal bladder hernia that was previously unsuccessfully operated on three times and was repaired using totally extraperitoneal repair (TEP). A 79-year-old man presented with a right inguinal swelling that had been treated three times on the same side with anterior approaches. Computed tomography confirmed a recurrent inguinal bladder hernia. TEP was performed after identifying the bladder hernia preoperatively, with previous surgeries that used a plug-and-patch technique through an anterior approach. The extraperitoneal approach allowed the bladder to be reduced without injury and the hernia to be safely repaired using a 3D Max® Light Mesh. The postoperative recovery was uneventful, with no recurrence after 1 year. TEP facilitates the diagnosis and repair of bladder hernias, emphasizing the importance of preoperative diagnosis and the efficacy of endoscopic procedures in bladder hernia repair, even in recurrent cases.

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腹腔镜完全腹膜外修补术治疗复发性腹股沟膀胱疝:病例报告。
我们介绍了一例复发性腹股沟膀胱疝患者,该患者之前曾接受过三次手术,但均未成功,后采用完全腹膜外修补术(TEP)进行了修补。一名 79 岁的男性因右侧腹股沟肿物就诊,曾在同一侧接受过三次前方入路治疗。计算机断层扫描证实他患有复发性腹股沟膀胱疝。在术前确定膀胱疝后,进行了TEP手术,之前的手术采用的是经前方入路的插补技术。腹膜外入路可以在不损伤膀胱的情况下缩小膀胱,并使用 3D Max® Light 网片安全地修复疝。术后恢复顺利,一年后未再复发。TEP 有助于膀胱疝的诊断和修补,强调了术前诊断的重要性以及内窥镜手术在膀胱疝修补中的有效性,即使是复发病例也不例外。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.00
自引率
10.00%
发文量
129
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