reynoso\_cirugia

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## Right inguinal hernia

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### 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.

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### 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.