BACKGROUND Spiegelian hernia is a rare type of ventral abdominal hernia. Surgical treatment is recommended due to the high risk of complications. Laparoscopic treatment is preferred to open repair, by means of intraperitoneal or extraperitoneal mesh placement, either by transperitoneal(TAPP) or by total extraperitoneal (TEP) approach. Total extraperitoneal approach is rarely reported in the lit...

Pneumomediastinum is an extremely rare complication after laparoscopic inguinal hernia repair. Very few cases have been reported in the surgical literature to date and most reports indicate pneumoperitoneum from the transabdominal preperitoneal approach as a causative factor. This case report describes a patient in whom an elective total extraperitoneal inguinal hernia repair was complicated by...

OBJECTIVE To describe surgical and functional results with extraperitoneal laparoscopic radical prostatectomy with duplication of the open technique, from the experience obtained in the treatment of 28 initial cases. MATERIALS AND METHODS In a 36-month period, we prospectively analyzed 28 patients diagnosed with localized prostate cancer undergoing extraperitoneal laparoscopic radical prostat...

HYPOTHESIS The extraperitoneal translumbar approach and retroperitoneoscopy are useful in the treatment and follow-up of patients with infected pancreatic necrosis. DESIGN Descriptive study. SETTING University hospital. PATIENTS Fifteen consecutive patients with infected and drained pancreatic necrosis. INTERVENTIONS Extraperitoneal translumbar approach to drain and retroperitoneoscopy ...

Despite the technological advances over the last years, the treatment of low rectal cancer (extraperitoneal) remains as a surgical challenge. Currently, the abdominoperineal resection is still the standard surgical treatment for most rectal lesions within 5 cm from the anal verge with well-known physical and psychological consequences. On the other hand, the introduction of intersphincteric res...

From the Department of General Surgery, Rajendra Institute of Medical Sciences, Ranchi, India H erniation of a ureter in an inguinal canal and scrotum is rare, and the general surgeon should be aware of this possibility to avoid injury to the ureter during hernial dissection. There are 2 types of inguinoscrotal herniation of a ureter: paraperitoneal (with a peritoneal hernial sac) and extraperi...

Duodenal perforation is a rare but life-threatening complication of endoscopic retrograde cholangiopancreatography (ERCP). Duodenal perforation can cause air leak into the extraperitoneal space. In rare instances, the air in the extraperitoneal space could dissect along the fascial planes of the abdomen to reach scrotum, leading to pneumoscrotum. We present the case of a 35-year-old male patien...

Retrograde cystography and computed tomography (CT) are considered the gold standard for investigating bladder and pelvic bone injury. However, these methods can miss extraperitoneal bladder rupture caused by a penetrating bone fragment from a pelvic bone fracture. We experienced a routine conventional cystography and CT scan that failed to identify penetration of the bladder by a bone fragment...