Laparoscopic approaches for abdominal surgery are being used with increasing frequency. Their advantages are sometimes negated by the disturbing incidence of postoperative sequelae. In the case of inguinal hernia repair, these are often the result of failing to understand that the anatomy of the anterior approach to the abdominal wall cannot necessarily be directly applied to laparoscopy. The i...

background sub-inguinal varicocelectomy is widely used among surgeons. objectives the aim of this study was to evaluate the outcome of varicocelectomy using a modified microsurgical method, specifically a loupe-assisted method, and its effects on sperm parameters in infertile men. patients and methods this study was performed in 40 patients who presented with varicocele. all patients had at lea...

Inguinal endometriosis, a rare and diagnostically challenging condition, is occasionally misdiagnosed by general surgeons as an inguinal hernia or hydrocele of the canal Nuck. In this study, we retrospectively investigated 23 patients with endometriosis diagnosed at our hospital between January 2006 September 2021. Per policy, surgical treatment consists resection from round ligament to lesion;...

OBJECTIVE To evaluate the single scrotal-incision orchidopexy (SSIO) technique in patients with an undescended testis palpable in the inguinal canal or below the external inguinal ring. PATIENTS AND METHODS Between January 2011 and December 2013 we performed 100 SSIOs in 89 patients. The mean (range) follow-up was 9 (3-36) months. RESULTS In 88 testes the SSIO was performed with no difficul...

OBJECTIVES Inguinal metastases are one of the major determinants of mortality in patients with penile cancer. In high risk patients, while prophylatic inguinal lymphadenectomy may offer survival advantages, it still carries a relatively high morbidity. We describe in this paper the first report of the Video Endoscopic Inguinal Lymphadenectomy (VEIL) in the clinical practice, a technique which a...

INTRODUCTION Laparoscopic intraperitoneal onlay mesh (IPOM) repair is occasionally used for inguinal hernia repair. Here, we report a case of chronic neuropathic pain after laparoscopic IPOM repair for inguinal hernia, which was treated successfully with laparoscopic selective neurectomy. PRESENTATION OF CASE A 59-year-old man with bilateral inguinal hernia underwent laparoscopic repair. Tran...

Amyand’s hernia (AH) is an inguinal hernia that contains the vermiform appendix within its sac and is difficult to diagnose preoperatively. We encountered a case of AH with acute perforated appendicitis and peritonitis, which was diagnosed based on preoperative CT. Intraoperatively, we discovered that the internal inguinal ring was small, and part of the appendix was within the hernia sac; the ...

Inguinal lymph node dissection represents the gold standard of treatment for patients with vulval carcinoma. The application of minimally invasive techniques, such as robotics, in the surgical treatment of gynecologic cancer, reduced the rate of postoperative complications, which has an important impact on the quality of patients' life. Robotic inguinal lymph node dissection is a safe and oncol...

Purpose: High ligation of the patent processus vaginalis (PPV) as basis of the treatment of indirect inguinal hernia in pediatric patients is not applied to adults. Instead, the popular options are the laparoscopic transabdominal preperitoneal (TAPP) approach or totally extra peritoneal (TEP) approach. We developed a unique technique to achieve laparoscopic completely extra peritoneal closure (...

Inguinal hernia repair in infants is a routine surgical procedure. However, numerous issues, including timing of the repair, the need to explore the contralateral groin, use of laparoscopy, and anesthetic approach, remain unsettled. Given the lack of compelling data, consideration should be given to large, prospective, randomized controlled trials to determine best practices for the management ...