Lymphadenectomy is the standard of care for metastatic melanoma in the inguinal lymph node basin. Historically, open surgery was the only treatment option. However, in recent years, videoscopic inguinal lymphadenectomy (VIL) has become a popular approach as it offers a minimally invasive alternative, provides similar oncologic control and reduces wound complications. Even though the VIL approac...

Introduction: Hernias that do not correspond to the usual sites of hernias in inguinal and femoral region have been described. Laparoscopic vision provides a much broader clearer perspective allows visualizing these hernia defects. The purpose this paper is report two cases peri-inguinal solved by laparoscopy, review unknown situation many surgeons today. Methods: A search terms “peri-inguinal ...

BACKGROUND Ischemic orchitis is an established complication after open inguinal hernia repair, but ischemic orchitis resulting in orchiectomy after the laparoscopic approach has not been reported. CASE PRESENTATION The patient was a thirty-three year-old man who presented with bilateral direct inguinal hernias, right larger than left. He was a thin, muscular male with a narrow pelvis who unde...

abstract: introduction & objective: postoperative pain management and narcotic usage after inguinal hernia repair is an important concern for anesthesiologists and surgeons. the purpose of this study was to find out whether the use of local anesthetic nerve block in ilioinguinal and iliohypogastric region by bupivacaine could reduce postoperative pain and hospital admission periods after inguin...

PURPOSE: To investigate the pattern of occurrence of inguinal neuritis in recurrent inguinal hernia. We hypothesize that neuritis will occur in more nerves with a wider distribution than in primary repair. METHODS: Retrospective chart review of thirty consecutive recurrent inguinal hernia repairs concentrating on the occurrence of inguinal neuritis. These are not chronic pain patients. Nerves s...

inguinal hernias sometimes surprise surgeons with unexpected contents. this article reports a 46-year-old male with a painless inguinal mass. surgical exploration showed three smooth yellowish concretions in the hernia sac. to our knowledge, this is the first report of hernial sac lithiasis.

Retroperitoneal liposarcoma presenting as an inguinal hernia is a rare entity. We present the first case of Giant recurrent liposarcoma presenting as a recurrent inguinal hernia in a 40-year-old male. Physical examination showed an irreducible lump in the right inguinal region and a scar in the right lumbar and right inguinal region. Computed tomography (CT) scan of abdomen revealed it to be a ...

INTRODUCTION The optimal repair of inguinal hernias remains controversial. It is recommended that an inguinal hernia be repaired using a mesh, either with a laparoscopic or an open approach. In Denmark, the laparoscopic approach is used in an increasing number of cases. The laparoscopic repair has a learning curve of about 50-100 cases and decreases chronic pain, but slightly increases the risk...

BACKGROUND Indirect inguinal hernias are usually congenital, forming a sac in the core of the spermatic cord covered by the internal spermatic, cremasteric, and external spermatic fasciae(1-3). Direct inguinal hernias are acquired; the sac lies beside/behind the cord(1-3). A rare third type is a combination of indirect and direct sacs on both sides of inferior epigastric vessels(1-3). We descri...