Laparoscopic treatment for inguinal hernia combined with cryptorchidism: Totally extraperitoneal repair with orchiectomy under the same operative view

Fujishima, Hajime; Sasaki, Atsushi; Takeuchi, Yu; Morimoto, Akio; Ito, Masafumi

doi:10.1016/j.ijscr.2015.10.029

Cited by 11 publications

(10 citation statements)

References 18 publications

(20 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The normal development and descent of the testis are a process that progresses early in the embryonic life until birth or immediately after birth, and are influenced by multiple hormonal and genetic factors 1. The incidence of undescended testes along with hernia is found to be 7% in the paediatric population,2 while the incidence of inguinal hernia in 1-year-old boys with undescended testes is as high as 90% 3. Such a clinical presentation is much less common in adults (about 0.23%),4 as the majority undergo surgical treatment in childhood.…”

Section: Discussionmentioning

confidence: 99%

“…Ultrasonography is the initial investigation tool, although the sensitivity in an intra-abdominal testis is only 20% and laparoscopy is the gold-standard investigative modality in an impalpable variety,12 ever since its first use in undescended testes way back in 1976 20. Review of literature using PubMed, Google Scholar and ClinicalKey using keywords cryptorchidism, adult, inguinal hernia and eTEP revealed only two case reports which made use of TEP in treating undescended testes along with hernia repair, but in both case reports, the testes were intracanalicular 2 21. Other case reports made use of diagnostic laparoscopy along with TAPP in the treatment of intra-abdominal testes.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Laparoscopic totally extraperitoneal exploration of intra-abdominal testis, orchidectomy and inguinal hernia repair in an adult patient

Gopinathan,

Ramachandran,

Ramalingam

et al. 2023

BMJ Case Rep

View full text Add to dashboard Cite

The presence of undescended testis predisposes to the development of an inguinal hernia due to the persistent processus vaginalis. This coexistence is not very rare in the paediatric population. Here, we report an adult man who presented with inguinal hernia and an intra-abdominal testis and successfully underwent an extended totally extraperitoneal (e-TEP) approach for extraperitoneal exploration of the testis in the left iliac fossa, and orchidectomy along with inguinal hernia repair. Review of the literature revealed only two case reports in which TEP has been used in the treatment of undescended testis in adults, and in both cases, the testes were intracanalicular. This case, as per our extensive bibliographical research, is the first reported case of an intra-abdominal testis, with descent arrested at the iliac fossa, explored using e-TEP along with inguinal hernia repair. Such minimally invasive procedures may be offered to the patients without the risks of intraperitoneal entry.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Laparoscopic totally extraperitoneal exploration of intra-abdominal testis, orchidectomy and inguinal hernia repair in an adult patient

Gopinathan,

Ramachandran,

Ramalingam

et al. 2023

BMJ Case Rep

View full text Add to dashboard Cite

show abstract

“…Almost all the cases were into the category, but in a few cases, the testis is not identified and blind-ending vessels were observed [ [3] , [4] , [5] ]. 2 reports presented with totally extraperitoneal repair (TEP) [ 6 , 7 ], and 9 reports described TAPP [ [8] , [9] , [10] , [11] , [12] ] for an inguinal hernia. The standard operation for cryptorchidism are orchiectomy or orchidopexy.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic treatment for adult inguinal hernia with cryptorchidism: A case report

Wakabayashi¹,

Aoki²,

Yoshida³

et al. 2020

International Journal of Surgery Case Reports

View full text Add to dashboard Cite

show abstract

“…To date, there have been only eight reports of laparoscopic surgery for cryptorchidism with inguinal hernia repair. Two reports presented with totally extraperitoneal repair , and six described laparoscopic surgery with TAPP hernia repair ; all cases were done with orchiectomy. Simultaneous orchiectomy is recommended for postpubertal patients because of the risk of malignancy.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic orchidopexy with transabdominal preperitoneal hernia repair in an adult

Omoto

Nishihara

Kawaguchi

et al. 2017

Asian J Endoscop Surgery

View full text Add to dashboard Cite

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.

show abstract

Laparoscopic treatment for inguinal hernia combined with cryptorchidism: Totally extraperitoneal repair with orchiectomy under the same operative view

Cited by 11 publications

References 18 publications

Laparoscopic totally extraperitoneal exploration of intra-abdominal testis, orchidectomy and inguinal hernia repair in an adult patient

Laparoscopic totally extraperitoneal exploration of intra-abdominal testis, orchidectomy and inguinal hernia repair in an adult patient

Laparoscopic treatment for adult inguinal hernia with cryptorchidism: A case report

Laparoscopic orchidopexy with transabdominal preperitoneal hernia repair in an adult

Contact Info

Product

Resources

About