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Related Concept Videos

Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

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Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
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Laparoscopic management of mesh migration into urinary bladder following laparoscopic totally extraperitoneal inguinal hernia repair-A case report.

International journal of surgery case reportsยท2021
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Laparoscopic approach to ureteroinguinal hernia.

Praveen Lakshmi Narayanan1, Narayanan C D1, Vishnu Sekar1

  • 1Department of General Surgery, Sri Ramachandra Institute of Higher Education and Research, No.1, Ramachandra Nagar, Porur, Chennai, 600116, India.

International Journal of Surgery Case Reports
|November 9, 2020
PubMed
Summary

This case study presents the first laparoscopic Trans Abdominal Pre-Peritoneal Repair for ureteral inguinal hernia. Laparoscopy offers safe, feasible repair with excellent visualization and ureter manipulation.

Keywords:
Hydro-ureteronephrosisLaparoscopic approachUretero-inguinal hernia

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Area of Science:

  • Urology
  • Minimally Invasive Surgery
  • Surgical Innovation

Background:

  • Inguinal hernias containing the ureter are rare, posing a risk of inadvertent injury during standard repair.
  • This report details the first management of ureteral herniation via laparoscopic Trans Abdominal Pre-Peritoneal Repair (TAPP).

Observation:

  • A 60-year-old male with left inguinal hernia presented with urinary frequency and loin-to-groin pain.
  • Imaging confirmed the left ureter coursing into the inguinal canal, scrotum, and returning to the bladder, causing mild hydroureteronephrosis.

Findings:

  • The patient underwent laparoscopic TAPP repair with ureter reduction under ureteroscope guidance.
  • Ureteroscopic visualization and stenting ensured no ureteral kinking or obstruction post-reduction.

Implications:

  • Laparoscopic TAPP provides safe and effective repair for ureteral inguinal hernias, allowing direct visualization and manipulation.
  • Surgeons should consider ureteral involvement in inguinal hernias, especially with atypical presentations, to prevent iatrogenic injury.