Dalby Claire, Brenner Sinead L, Sharata Ahmed M, Winder Nicolette M, Kuo Paul C
Surgery, Morsani College of Medicine, University of South Florida, Tampa, USA.
Cureus. 2024 Dec 9;16(12):e75401. doi: 10.7759/cureus.75401. eCollection 2024 Dec.
We report a novel approach to open inguinal hernia repair in patients with known ascites in which the cord, hernia sac, and attached testicle on the affected side are repositioned into the retroperitoneum through the inguinal ring. By avoiding invasion of the peritoneum and limiting dissection of the sac off the spermatic cord, the risk of ascites leak and testicular ischemia is theoretically decreased.
This is a retrospective case series report. Medical records of patients with ascites ( = 7) who underwent this novel repair technique were reviewed. All surgeries were performed at a tertiary referral center between January 2022 and January 2024.
This surgical technique was performed on seven patients with inguinal hernias, all of whom had known ascites. Of these seven patients, none experienced postoperative inguinal hernia recurrence or ascitic leakage. However, three developed scrotal hematomas, and one experienced scrotal edema and postoperative constipation.
This technique may help reduce the risk of recurrence and ascitic leakage in this specific patient population.
我们报告了一种针对已知有腹水的患者进行开放性腹股沟疝修补的新方法，即将患侧的精索、疝囊及附着的睾丸通过腹股沟环重新放置到腹膜后。通过避免侵入腹膜并限制从精索分离疝囊，理论上可降低腹水渗漏和睾丸缺血的风险。
这是一篇回顾性病例系列报告。回顾了接受这种新型修补技术的腹水患者（n = 7）的病历。所有手术均于2022年1月至2024年1月在一家三级转诊中心进行。
该手术技术应用于7例腹股沟疝患者，所有患者均已知有腹水。在这7例患者中，无一例出现术后腹股沟疝复发或腹水渗漏。然而，3例出现阴囊血肿，1例出现阴囊水肿和术后便秘。
该技术可能有助于降低这一特定患者群体的复发风险和腹水渗漏风险。
