Total laparoscopic repair of Spigelian hernia with undescended testis

Deshmukh, Shahaji; Kothari, Paras; Gupta, Abhaya; Dikshit, Vishesh; Patil, Prashant Sadashiv; Kekre, Geeta; Deshpande, Ashok; Kulkarni, Apoorva; Hukeri, Aboli

doi:10.4103/jmas.jmas_196_18

Cited by 4 publications

(3 citation statements)

References 10 publications

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“… 17 Deshmukh et al reported successful results with laparoscopic orchidopexy and repair for spigelian hernia-ectopic testis. 17 However, more data are required to definitively recommend complete laparoscopic repair vs the conventional open approach. Hence, as a prudent approach, we recommend that this type of case be approached laparoscopically and converted to an open approach if required, depending on the complexity of operative findings and the surgeon's experience.…”

Section: Discussionmentioning

confidence: 99%

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Congenital Spigelian Hernia With Ipsilateral Ectopic Testis

Gonuguntla

Thotan

Pai

et al. 2022

TOJ

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Background:The association between congenital spigelian hernia and ipsilateral ectopic testis has been debated in the literature, and the management of such cases has yet to be standardized. Both pediatric surgeons and sonographers should be aware of this entity to allow for prompt diagnosis and monitoring/repair because congenital spigelian hernias have a high risk of incarceration. Case Report: A 3-month-old male presented with left-sided abdominal wall swelling present since birth with coexisting left-sided undescended testis. Ultrasound confirmed the suspicion of a congenital spigelian hernia with undescended testis but failed to locate the ectopic testis. Diagnostic laparoscopy and open repair of the spigelian hernia were performed when the patient was 9 months of age. Left-sided orchidopexy was also performed as the left testis was located within the spigelian sac. The patient was asymptomatic at 1-year follow-up. Conclusion:The association between congenital spigelian hernia and ipsilateral ectopic testis requires the surgeon and sonographer to pay special attention to the spigelian hernia sac as it may contain the ectopic testis. Orchidopexy and hernia repair in very young children may be delayed while closely monitoring for incarceration to allow for improvement in immunity, an increase in size of the spermatic cord and vasculature, and avoidance of the stress of 2 separate surgeries. The surgical approach can be laparoscopic or open depending on the experience of the surgeon and the complexity of intraoperative findings.

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Section: Discussionmentioning

confidence: 99%

“…In uncomplicated cases, complete laparoscopic repair may be a viable option. 17 Deshmukh et al reported successful results with laparoscopic orchidopexy and repair for spigelian hernia-ectopic testis. 17 However, more data are required to definitively recommend complete laparoscopic repair vs the conventional open approach.…”

Section: Discussionmentioning

confidence: 99%

Congenital Spigelian Hernia With Ipsilateral Ectopic Testis

Gonuguntla

Thotan

Pai

et al. 2022

TOJ

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“…Management of SH is surgical through open technique or laparoscopic modalities [7,[13][14][15]. The laparoscopy is considered a new approach according to three cases reported by Kumar et al, Desmukh et al, and Khan et al [12,16,17]. As our case presented with signs of acute intestinal obstruction, we preferred to do an open surgery to manage the case; after opening the sac, which contained fluid, small bowel loops, and the testis, the bowel was healthy, but the testis looked ischaemic.…”

Section: Discussionmentioning

confidence: 99%

Outcome of Orchidopexy in Spigelian Hernia-Undescended Testis Syndrome

Taha

Algethami²,

AlQurashi³

et al. 2021

Cureus

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Spigelian hernia-undescended testes (SH-UDT) syndrome is a rare disorder, with only 57 cases reported in the literature. The presentation can be asymptomatic or symptomatic in the form of pain, tenderness, or a lump. We present a case of a 50-day-old boy with SH-UDT syndrome. The patient presented with signs and symptoms of acute intestinal obstruction. Exploration confirmed a Spigelian hernia containing small bowel loops and right undescended testis. Orchidopexy was done after ligation of the hernial sac. A follow-up visit after two years revealed right testicular atrophy.

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