Laparoscopic Repair of Extraperitoneal Ureteral Inguinal Hernia With Mesh Placement

Ureteral inguinal hernias are a well-described entity, within the spectrum of sliding hernias, with over 140 cases described since 1880. Though herniation of the ureter is relatively rare and complete ureteric obstruction is infrequent, a massive herniation may cause complete obstruction, leading to...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2020-10, Vol.12 (10)
Main Authors: Negmadjanov, Ulugbek, Daubert, Megan, Rawlinson, Robert D, Licht, Mark R, Yeguez, Jose
Format: Article
Language:English
Subjects:
General Surgery
Urology
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Summary:Ureteral inguinal hernias are a well-described entity, within the spectrum of sliding hernias, with over 140 cases described since 1880. Though herniation of the ureter is relatively rare and complete ureteric obstruction is infrequent, a massive herniation may cause complete obstruction, leading to hydronephrosis. Management of these hernias is challenging and poses a significant danger of inadvertent injury and entrapment of a tortuous ureter. When faced with this type of hernia, extreme care should be taken to perform the appropriate preoperative workup and thoroughly plan the surgical approach. The present case describes a patient with a known ureteral inguinal hernia, who underwent a laparoscopic repair of the hernia with mesh placement. 
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.11067