John Ray B Yang, MD, Raymund G Ong, MD. Far Eastern University Nicanor Reyes Medical Foundation
Inguinal herniorrhaphy is one of the most common procedure being done in General Surgery. Among the different types of inguinal hernia, there exist a few rare cases such as: (1) Amyand hernia, a type of hernia where the vermiform appendix is included in the hernial sac having an incidence rate of less than 1%; (2) Urinary bladder hernia accounts to 1%-3% of all inguinal hernias; (3) Supravesical hernia where less than a 100 cases have been reported in literature since the identification of supravesical hernia in 1804 until 2013; and (4) lipoma of the cord.
A case of an 83 year old male, who came in due to recurrent abdominal pain. He previously underwent herniorraphy twice from a different institution using bassini technique and mesh repair. However, work up was done and revealed a recurrence of bilateral inguinal hernia. Intra-operatively five anterior abdominal defects were noted 1 from the right (amyand hernia), 2 supravesical hernia: lipoma and urinary bladder, 2 direct hernia in the left containing a lipoma and another empty space. This may be the very first documented case of a multiple bilateral rare inguinal hernias all managed by laparoscopic inguinal mesh hernioplasty via Transabdominal preperitoneal (TAPP) approach.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 79131
Program Number: V118
Presentation Session: Hernia Video Session
Presentation Type: Video