Omoto Kenichiro, Nishihara Yuichi, Kawaguchi Yoshiki, Urakami Hidejiro, Seki Shiko, Ohishi Takashi, Isobe Yoh, Matsumoto Sumio
Departments of Emergency and Critical Care, National Hospital Organization, Tokyo Medical Center, Tokyo, Japan.
Departments of Surgery, National Hospital Organization, Tokyo Medical Center, Tokyo, Japan.
Asian J Endosc Surg. 2017 Aug;10(3):325-327. doi: 10.1111/ases.12366. Epub 2017 Feb 24.
We report an adult who underwent laparoscopic orchidopexy and transabdominal preperitoneal hernia repair. The patient was a 53-year-old man who was referred to our hospital for a bulge and pain in his left inguinal area. An abdominal CT scan revealed that the greater omentum was incarcerated in a left inguinal hernia. The patient underwent emergency laparoscopic surgery immediately. After reduction, he was diagnosed with bilateral cryptorchidism and inguinal hernia. After adequate mobilization, pneumoperitoneum was discontinued, and orchidopexy was performed with the Lichtenstein tension-free hernioplasty. One month later, the patient underwent elective laparoscopic orchidopexy with transabdominal preperitoneal hernia repair on his right side. The patient's postoperative course has been uneventful, with no evidence of hernia recurrence to date. This procedure is safe and may be an option for adult patients who desire testis preservation. This may be the first report of laparoscopic hernia repair with orchidopexy.
我们报告了一名接受腹腔镜睾丸固定术和经腹腹膜前疝修补术的成年患者。该患者为一名53岁男性，因左侧腹股沟区肿块和疼痛转诊至我院。腹部CT扫描显示大网膜嵌顿于左侧腹股沟疝。患者立即接受了急诊腹腔镜手术。复位后，诊断为双侧隐睾和腹股沟疝。充分游离后，停止气腹，采用Lichtenstein无张力疝修补术进行睾丸固定术。1个月后，患者接受了右侧经腹腹膜前疝修补术的择期腹腔镜睾丸固定术。患者术后恢复顺利，迄今为止无疝复发迹象。该手术安全，对于希望保留睾丸的成年患者可能是一种选择。这可能是首例腹腔镜疝修补术联合睾丸固定术的报告。
