Yener O, Demir M, Yigitbaşı R, Yilmaz A
Department of Surgery, Göztepe Training and Research Hospital, Istanbul, Turkey.
Prague Med Rep. 2013;114(1):5-8. doi: 10.14712/23362936.2014.32.
The aim of the research was to determine the incidence, significance, and anatomy of spermatic cord and round ligament lipomas. Between 2000 and 2010 we evaluated 969 consecutive patients with 1,070 indirect inguinal hernias, who underwent open repair. A total of 22 lipomas of the spermatic cord or round ligament were identified and resected in 22 patients. No neoplastic changes confirmed in histopathologic examinations of the specimens were reported. Lipomas of the cord and round ligament occur with a considerable incidence. We believe that even if there is no peritoneal sac, the herniation of extraperitoneal fat through the inguinal canal should be counted as an inguinal hernia, and it requires adequate treatment.
该研究的目的是确定精索和圆韧带脂肪瘤的发生率、意义及解剖结构。在2000年至2010年间，我们评估了969例连续接受开放修补术的1070例腹股沟斜疝患者。共在22例患者中发现并切除了22例精索或圆韧带脂肪瘤。标本的组织病理学检查未报告有肿瘤性改变。精索和圆韧带脂肪瘤的发生率相当高。我们认为，即使没有腹膜囊，腹膜外脂肪通过腹股沟管突出也应被视为腹股沟疝，需要进行适当治疗。
