Incidence of Inguinal Hernias Diagnosed During Laparoscopy

Ds, Watson; Kw, Sharp; Jm, Vasquez; Wo, Richards

doi:10.1097/00007611-199401000-00005

Cited by 54 publications

(15 citation statements)

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“…Another possible explanation for the cases where clinical testicular metastasis developed long after/during primary treatment of WT can be, presence of subclinical metastatsis in the testis (missed on clinical examination) [12]. A PPV has been estimated to be present in 80-95% of all male newborns, declining to 60% at one year of age, 40% at two years, and 15-37% thereafter [25]. It allows the passage of intraperitoneal contents (fluid, blood, tumor metastasis) between the abdomen and scrotum.…”

Section: Discussionmentioning

confidence: 99%

“…It allows the passage of intraperitoneal contents (fluid, blood, tumor metastasis) between the abdomen and scrotum. Only 20% of PPV presents clinically as inguinal hernia or hydrocele during their lifetime [25]. In author's opinion in view of up to 95 % subclinical patent PPV, routine ultrasonography of scrotum (screening for testicular metastasis) with abdominal ultrasound can be a cost effective screening measure which might reduce the child tumor related morbidity and mortality.…”

Section: Discussionmentioning

confidence: 99%

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The Diagnostic and Therapeutic Approach to a Child Having Simultaneous Renal and Testicular Mass

Singh¹

2017

JPNC

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Twelve % of Wilms' tumor patients have metastases at initial presentation. The hematogenous metastasis is most common in lung, followed by liver, contralateral kidney, bone and brain. In the literature 12 cases of testicular/ paratesticular metastasis of Wilms' tumor has been reported. Here, we report a child having Wilms' tumor with testicular metastasis, with discussion on how to approach the children having simultaneous renal and testicular mass.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The Diagnostic and Therapeutic Approach to a Child Having Simultaneous Renal and Testicular Mass

Singh¹

2017

JPNC

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“…Some researchers have raised the possibility that post-operative hernias might simply represent the sub-clinical hernias that become clinically manifest after surgery, Incidence of post-operative inguinal hernia H Fukuhara et al rather than new onset. 22 A 13% incidence of sub-clinical inguinal hernia was diagnosed during laparoscopy, 23 and a 20% incidence of internal ring defect was found in a cadaveric study. 24 In a prospective study by Nielsen et al, 22 430 patients who had undergone RRP were carefully examined intraoperatively for the presence of a hernia or a dilated internal inguinal ring.…”

Section: -15mentioning

confidence: 99%

Lower incidence of inguinal hernia after radical prostatectomy using open gasless endoscopic single-site surgery

Fukuhara

Nishimatsu

Suzuki

et al. 2011

Prostate Cancer Prostatic Dis

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Inguinal hernia is one of the long-term complications requiring surgical interventions after retropubic radical prostatectomy (RRP), and its incidence has been reported to range from 12 to 21%. The number of open gasless laparoendoscopic single-site surgery, especially minimum incision endoscopic radical prostatectomy (MIES-RRP) is increasing in Japan. The incidence of post-operative inguinal hernia was compared between conventional RRP and MIES-RRP. The medical records of 333 patients who underwent conventional RRP (n ¼ 214) or MIES-RRP (n ¼ 119) with pelvic lymphadenectomy at our hospital were retrospectively evaluated. There were no significant differences between the two groups in age, pre-operative PSA levels, or previous major abdominal surgery (cholecystectomy, gastrectomy and colectomy), appendectomy or inguinal hernia repair. MIES-RRP was carried out with a 5-8-cm lower abdominal midline incision. Inguinal hernia developed postoperatively in 41 (19%) of the 214 men undergoing conventional RRP during mean follow-up of 58 months (range: 7-60 months). In contrast, 7 (5.9%) of the 119 men receiving MIES-RRP, developed inguinal hernia during mean follow-up of 21 months (range: 13-31 months). The hernia-free survival was significantly higher after MIES-RRP than after conventional RRP (P ¼ 0.037). Our results suggest that MIES-RRP is less associated with post-operative inguinal hernia than conventional RRP.

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“…This is important because the rate of PPV on the opposite side in patients with unilateral hernias approaches 25% [45,46] and failure to identify this will result in recurrent genital edema and the need for reoperation. The accuracy of DL approaches 100% and has a less than 1% complication rate [47,48]. Herniorrhaphy may be then undertaken during that operation.…”

Section: Other Diagnostic Modalitiesmentioning

confidence: 99%