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Review
. 2013 Oct-Dec;17(4):654-6.
doi: 10.4293/108680813X13794522667481.

Laparoscopic hernia repair--when is a hernia not a hernia?

David Bunting  1 , Lukasz Szczebiot  2 , Alwyn Cota  2
Affiliations
Review

Laparoscopic hernia repair--when is a hernia not a hernia?

David Bunting et al. JSLS. 2013 Oct-Dec.

Abstract

A wide range of diagnoses can present as inguinal hernia. Laparoscopic techniques are being increasingly used in the repair of inguinal hernias and offer the potential benefit of identifying additional pathology. The authors present the first reported case of a hydrocele of the canal of Nuck diagnosed laparoscopically. We review the incidence of identifying additional pathology through laparoscopy for inguinal hernia repair. We suggest that in patients with atypical presenting features of a hernia, the transabdominal preperitoneal, rather than a totally extraperitoneal, approach to groin hernia repair should be considered because of its greater diagnostic potential.

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Figures

Figure 1.
Figure 1.
Laparoscopic view of cystic swelling at the left deep inguinal ring.
Figure 2.
Figure 2.
Magnetic resonance images of hydrocele of the canal of Nuck demonstrating a large intra-abdominal portion communicating through the inguinal canal with an external portion in the groin.
See this image and copyright information in PMC

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