A Clinical Image of Sliding Hernia

A 55-year-old male patient was admitted with complaints of leftsided inguinoscrotal swelling for one year. The patient did not have any associated co-morbidities. After a thorough clinical and haematological assessment, the patient was taken up for elective inguinal hernioplasty and Lichtenstein ten...

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Bibliographic Details
Published inJournal of clinical and diagnostic research Vol. 18; no. 7; pp. 18 - 01
Main Authors Pedaprolu, Aditya Sriharsha, Rewale, Venkatesh Manohar
Format Journal Article
LanguageEnglish
Published JCDR Research and Publications Private Limited 01.07.2024
Subjects
hernia repair
hernioplasty
inguinal hernia
sigmoid colon
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Summary:A 55-year-old male patient was admitted with complaints of leftsided inguinoscrotal swelling for one year. The patient did not have any associated co-morbidities. After a thorough clinical and haematological assessment, the patient was taken up for elective inguinal hernioplasty and Lichtenstein tension-free mesh repair. During the surgery, the hernial sac was identified and dissected from the spermatic cord; during this stage, part of the sigmoid colon was found to be part of the posterior wall of the sac [Table/Fig-1], leading to the diagnosis of a sliding hernia. It is crucial to perform gentle dissection to avoid injury to the contents of the sac. After identification, the viscus was meticulously dissected and reduced to the preperitoneal space without excising the sac. Subsequently, a herniorrhaphy with Lichtenstein’s tension-free mesh repair was performed. The rest of the procedure was uneventful. The patient was eventually discharged following suture removal and kept on regular follow-up. He did not developed any postoperative complications following the surgery.
ISSN:2249-782X
0973-709X
DOI:10.7860/JCDR/2024/70498.19591