Lau Hung
Department of Surgery, University of Hong Kong Medical Center, Tung Wah Hospital, Hong Kong, China.
J Laparoendosc Adv Surg Tech A. 2004 Feb;14(1):57-9. doi: 10.1089/109264204322862388.
With the increasing application of endoscopic hernioplasty, surgeons have now recognized that the peritoneal sac is sometimes absent in patients who present with a reducible inguinal hernia. Sliding lipoma refers to a sliding herniation of preperitoneal fat into the inguinal canal forming a reducible indirect inguinal hernia in the absence of a peritoneal sac. In this report, we describe a patient who underwent bilateral endoscopic totally extraperitoneal inguinal hernioplasty (TEP), followed by an early recurrence of left inguinal hernia, secondary to a sliding lipoma. Sliding lipoma is a challenging condition specific to endoscopic repair of inguinal hernia. All lipomas should be reduced and excised whenever feasible. Awareness and appropriate management of the sliding lipoma will help to reduce the risk of recurrence after endoscopic hernioplasty.
随着内镜下疝修补术应用的增加，外科医生现在已经认识到，在出现可复性腹股沟疝的患者中，有时不存在腹膜囊。滑动性脂肪瘤是指腹膜前脂肪滑入腹股沟管，在没有腹膜囊的情况下形成可复性间接腹股沟疝。在本报告中，我们描述了一名患者，他接受了双侧内镜完全腹膜外腹股沟疝修补术（TEP），随后左腹股沟疝早期复发，继发于滑动性脂肪瘤。滑动性脂肪瘤是腹股沟疝内镜修复特有的具有挑战性的情况。只要可行，所有脂肪瘤都应还纳并切除。对滑动性脂肪瘤的认识和适当处理将有助于降低内镜下疝修补术后的复发风险。
