Right inguinal hernia | Figure 1

reynoso_cirugia

Right inguinal hernia

Patient Information

• Gender: Male patient in his 70s

Chief Complaint:

• Right inguinal bulge and discomfort.

History:

• The patient presented with progressive swelling and discomfort in the right inguinal region, exacerbated by physical activity. No symptoms of incarceration or bowel obstruction were reported.

Physical Examination:

• A reducible right inguinal hernia was identified on examination.

Diagnosis:

• Right inguinal hernia.

Treatment:

• Laparoscopic inguinal hernia repair was performed with placement of a large 3D Max mesh.

Similar cases

Male, 53 years old
Chief Complaint: Discomfort and tenderness in the left inguinal region
Medical examination: Incarcerated left inguinal hernia
Treatment: Left inguinal TAPP with mesh, Large Dextile mesh, Mesh fixation with Glubran, Flap closure with 2-0 Vloc sutures

39-year-old male patient
Chief Complaint: Right inguinal pain and discomfort.
History: Patient presented with progressive right inguinal discomfort, worsened by physical activity. No gastrointestinal symptoms.
Diagnostic Workup: Ultrasound showed a right inguinal canal defect (~18.7 mm) with protrusion of intra-abdominal fat forming a hernia sac (2.9 × 1.5 × 1.9 cm; ~4.6 cc). The hernia was fully reducible, with no bowel involvement or signs of incarceration.
Diagnosis: Right reducible inguinal hernia.
Treatment Plan: Laparoscopic TAPP repair with mesh placement.

Male patient in his 60s
Chief Complaint: Left inguinal bulge and discomfort.
History: The patient presented with progressive swelling in the left inguinal region, associated with mild discomfort during physical activity. No gastrointestinal symptoms or prior episodes of incarceration were reported.
Physical Examination: A reducible protrusion was identified in the left inguinal region, more evident with the Valsalva maneuver.
Diagnosis: Left inguinal hernia.
Treatment: Laparoscopic TAPP inguinal repair was performed with placement of a polypropylene mesh.

Chief Complaint: Left inguinal pain and discomfort.
History: Patient presented with progressive discomfort in the left inguinal region, exacerbated by physical activity. No gastrointestinal symptoms or prior complications were reported.
Diagnostic Workup: Clinical evaluation was consistent with a left inguinal hernia.
Diagnosis: Left inguinal hernia.
Treatment: Laparoscopic TAPP repair was performed with placement of a large heavy-weight 3D Max mesh.
Outcome: The procedure was completed without complications, with adequate reinforcement of the inguinal region.