DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20162009

Suture less 3D mesh repair of sliding inguinal hernia: a case report

Abhijit Bagul, Qurratulain Chougle, Meena Kumar, Nandkishore ., Naseem Khan, Sridevi Murali

Abstract


Sliding hernias involving the urinary bladder are rare, almost exclusively seen in men. As a result of slipping of the posterior parietal peritoneum on the underlying retroperitoneal structures, the posterior wall of the sac is not formed of the peritoneum alone, but by a portion of the bladder on either side. This case report presents the case of a 54 year old male patient with  Right groin swelling since two years, gradually increasing in size with complaints of  pain at the site of the swelling prior to voiding and also, an increase in the size of the swelling on retaining urine for a long duration. Based on clinical and radiological findings patient was diagnosed with Sliding inguinal hernia with bladder component, and underwent Open suture less 3D Mesh repair, with replacement of the bladder in the retroperitoneal space. The aim of this case report is to highlight the successful surgical management of a rare sliding hernia involving the urinary bladder using suture less 3D mesh repair.


Keywords


Sliding hernia, 3D Mesh, Inguinal, Suture less

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References


Mahadevappa B, Suresh SC, Natarajan K, Thomas J. Cystogram with dumbbell shaped urinary bladder in a sliding inguinal hernia. J Radiol Case Rep. 2009;3(2):7-9.

Bjurlin MA, Delaurentis DA, Jordan MD, Richter HM 3rd. Clinical and radiographic findings of a sliding inguinoscrotal hernia containing the urinary bladder. Hernia. 2010;14(6):635-8.

Farber SB, Hertzenu Y. Massive bladder hernia: Ultrasonographic imaging in two cases. British Journal of Urology. 1998;81:482-3.

Amato G, Agrusa A, Romano G. Fixation free inguinal hernia repair using a dynamic self-retaining implant. Surg Technol Int. 2012;22:107-12.

Gurer A, Ozdogan M, Ozlem N, Yildrim A, Kulacoglu H, Aydin R. Uncommon content in groin hernia sac. Hernia. 2006;10(2):152-5.

Oruc MT, Akbulut Z, Ozozan O, Coskun F. Urological findings in Inguinal hernia: A Case Report and Review of the Lietrature. Hernia. 2004;8(1):76-9.

Gomella LG, Spires SM, Burton JM, Ram MD, Flanigan RC. The Surgical Implications of Herniation of the Urinary Bladder. Archives of Surgery. 1985;120(8):964-8.

Juan Escudaro JU, Ramos de Campos M, Ordono Dominguez F, Febauel Deltoro M, Serrano de la Cruz, Torrijos F, et al. Inguinoscrotal bladder hernias. Arch Esp Urol. 2007;60(3):231-6.

Amato G, Romano G, Agrusa A, Cocorullo G, Gulotta G, Goetze T. Dynamic inguinal hernia repair with a 3d fixation free and motion compliant implant: a clinical study. Surg Techno lint. 2014;24:155-65.

Dabić D, Cerović S, Azanjaç B, Marić B, Kostić I. Prolene hernia system, ultraro hernia system and 3D patch devices in the treatment of inguinal, femoral, umbilical and small incisional hernias in outpatient surgery. Acta Chir lugosl. 2010;57(2):49-54.