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Case report of a robotic-assisted laparoscopic repair of a giant incarcerated recurrent inguinal hernia containing bladder and ureters

2014; Wiley; Volume: 11; Issue: 1 Linguagem: Inglês

10.1002/rcs.1597

1478-596X

Lawrence N. Cetrulo, Justin D. Harmon, Jorge Ortiz, Daniel Canter, Amit R.T. Joshi,

Pelvic and Acetabular Injuries

Background Robotic surgery is particularly useful in pelvic procedures, such as prostatectomy and low anterior resection. The paper describes a robotic-assisted repair of a giant bladder- and ureter-containing incarcerated inguinal hernia. Methods and Results A 53-year-old man had previously undergone repair of a left inguinal hernia. He presented to our clinic complaining of difficulty urinating and a large bulge in his left scrotum. CT revealed a giant left scrotal hernia containing the bladder and both ureters. The patient underwent robotic-assisted laparoscopic repair. The bladder and both ureters were carefully dissected free from the scrotum, while preserving the testicle and spermatic cord. A 6×4 inch pre-peritoneal polyester composite mesh was then used to repair the defect. Conclusion Incarcerated, recurrent inguinal hernias are challenging repairs. Robotic-assisted repair allows for fine dissection, and is an excellent alternative to open surgery for a difficult inguinal hernia. Copyright © 2014 John Wiley & Sons, Ltd.