Laparoscopic transabdominal approach and its modified technique for incarcerated scrotal hernias
Introduction: Using laparoscopic methods for incarcerated scrotal hernias is controversial because of the perceived technical difficulties in treating such hernias. Herein, we present our experience with laparoscopic repair of such hernias. Materials and methods: A retrospective review was undertake...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2013-04-01
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| Series: | Asian Journal of Surgery |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S101595841200156X |
| _version_ | 1811268246412722176 |
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| author | Sze Li Siow Hans Alexander Mahendran Mark Hardin Chan Hooi Chea Nik Abdullah Nik Azim |
| author_facet | Sze Li Siow Hans Alexander Mahendran Mark Hardin Chan Hooi Chea Nik Abdullah Nik Azim |
| author_sort | Sze Li Siow |
| collection | DOAJ |
| description | Introduction: Using laparoscopic methods for incarcerated scrotal hernias is controversial because of the perceived technical difficulties in treating such hernias. Herein, we present our experience with laparoscopic repair of such hernias.
Materials and methods: A retrospective review was undertaken to evaluate our experience with laparoscopic transabdominal approach and its modification for incarcerated hernias over a 3-year period. Two laparoscopic techniques were used for the repair of such hernias. The first technique, an exploratory laparoscopy, was performed to inspect the content of the hernia. This was followed by gentle retraction of the hernial content into the abdominal cavity and performing a standard transabdominal preperitoneal (TAPP) repair. If the hernia was not reducible, then a second technique involving a paramedian scrotal incision was performed. The sac was isolated, opened, and its contents were examined. If the bowel was encountered, it was reduced into the peritoneal cavity. However, if it was the omentum, it was excised. Following ligation of the scrotal sac and re-insufflation of the abdomen, a standard TAPP ensued.
Results: A total of 20 male patients with incarcerated scrotal hernia underwent laparoscopic TAPP repair (mean age: 48 years). Six had scrotal incision. Surgical site or mesh infection was not observed in any of the cases. Likewise, no recurrence after a mean follow-up of 22 months was encountered.
Conclusion: Using the above modifications, we were able to perform laparoscopic repair of large incarcerated scrotal hernias, which previously would have been treated with an open procedure. |
| first_indexed | 2024-04-12T21:19:18Z |
| format | Article |
| id | doaj.art-972e72bad8c048c789067be686b39f65 |
| institution | Directory Open Access Journal |
| issn | 1015-9584 |
| language | English |
| last_indexed | 2024-04-12T21:19:18Z |
| publishDate | 2013-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Asian Journal of Surgery |
| spelling | doaj.art-972e72bad8c048c789067be686b39f652022-12-22T03:16:21ZengElsevierAsian Journal of Surgery1015-95842013-04-01362646810.1016/j.asjsur.2012.11.004Laparoscopic transabdominal approach and its modified technique for incarcerated scrotal herniasSze Li SiowHans Alexander MahendranMark HardinChan Hooi CheaNik Abdullah Nik AzimIntroduction: Using laparoscopic methods for incarcerated scrotal hernias is controversial because of the perceived technical difficulties in treating such hernias. Herein, we present our experience with laparoscopic repair of such hernias. Materials and methods: A retrospective review was undertaken to evaluate our experience with laparoscopic transabdominal approach and its modification for incarcerated hernias over a 3-year period. Two laparoscopic techniques were used for the repair of such hernias. The first technique, an exploratory laparoscopy, was performed to inspect the content of the hernia. This was followed by gentle retraction of the hernial content into the abdominal cavity and performing a standard transabdominal preperitoneal (TAPP) repair. If the hernia was not reducible, then a second technique involving a paramedian scrotal incision was performed. The sac was isolated, opened, and its contents were examined. If the bowel was encountered, it was reduced into the peritoneal cavity. However, if it was the omentum, it was excised. Following ligation of the scrotal sac and re-insufflation of the abdomen, a standard TAPP ensued. Results: A total of 20 male patients with incarcerated scrotal hernia underwent laparoscopic TAPP repair (mean age: 48 years). Six had scrotal incision. Surgical site or mesh infection was not observed in any of the cases. Likewise, no recurrence after a mean follow-up of 22 months was encountered. Conclusion: Using the above modifications, we were able to perform laparoscopic repair of large incarcerated scrotal hernias, which previously would have been treated with an open procedure.http://www.sciencedirect.com/science/article/pii/S101595841200156Xincarceratedlaparoscopyscrotal herniascrotal incisiontransabdominal preperitoneal repair |
| spellingShingle | Sze Li Siow Hans Alexander Mahendran Mark Hardin Chan Hooi Chea Nik Abdullah Nik Azim Laparoscopic transabdominal approach and its modified technique for incarcerated scrotal hernias Asian Journal of Surgery incarcerated laparoscopy scrotal hernia scrotal incision transabdominal preperitoneal repair |
| title | Laparoscopic transabdominal approach and its modified technique for incarcerated scrotal hernias |
| title_full | Laparoscopic transabdominal approach and its modified technique for incarcerated scrotal hernias |
| title_fullStr | Laparoscopic transabdominal approach and its modified technique for incarcerated scrotal hernias |
| title_full_unstemmed | Laparoscopic transabdominal approach and its modified technique for incarcerated scrotal hernias |
| title_short | Laparoscopic transabdominal approach and its modified technique for incarcerated scrotal hernias |
| title_sort | laparoscopic transabdominal approach and its modified technique for incarcerated scrotal hernias |
| topic | incarcerated laparoscopy scrotal hernia scrotal incision transabdominal preperitoneal repair |
| url | http://www.sciencedirect.com/science/article/pii/S101595841200156X |
| work_keys_str_mv | AT szelisiow laparoscopictransabdominalapproachanditsmodifiedtechniqueforincarceratedscrotalhernias AT hansalexandermahendran laparoscopictransabdominalapproachanditsmodifiedtechniqueforincarceratedscrotalhernias AT markhardin laparoscopictransabdominalapproachanditsmodifiedtechniqueforincarceratedscrotalhernias AT chanhooichea laparoscopictransabdominalapproachanditsmodifiedtechniqueforincarceratedscrotalhernias AT nikabdullahnikazim laparoscopictransabdominalapproachanditsmodifiedtechniqueforincarceratedscrotalhernias |