Conservative treatment of partial testicular artery injury during transabdominal preperitoneal hernioplasty (TAPP)

被引:1
作者
Augustin, Goran [1 ,2 ]
Brkic, Lucija [2 ]
Hrabak Paar, Maja [2 ,3 ]
机构
[1] Univ Hosp Ctr Zagreb, Dept Surg, Kispaticeva 12, Zagreb 10000, Croatia
[2] Univ Zagreb, Sch Med, Zagreb, Croatia
[3] Univ Hosp Ctr Zagreb, Dept Radiol, Zagreb, Croatia
关键词
Inguinal hernia; hernia repair; laparoscopy; bleeding; testicular artery; conservative treatment; HERNIA SOCIETY GUIDELINES; INGUINAL-HERNIA; HEMORRHAGE; EMBOLIZATION;
D O I
10.1080/00015458.2020.1794333
中图分类号
R61 [外科手术学];
学科分类号
摘要
Inguinal hernias are common conditions in general surgery. Laparoscopic approach, whether transabdominal preperitoneal (TAPP) or totally extraperitoneal (TEP), is favored for its lower rate of surgical site infection, shorter hospital stay, and faster return to daily activities. Complications still occur, albeit in a small percentage, but can prolong hospital stay or be fatal. We present a case of a 55-year-old male patient who underwent TAPP procedure with proposed iatrogenic testicular artery injury resulting in a bilateral retroperitoneal hematoma. The treatment was conservative, and the patient was discharged in good general condition after 13 days. Six months postoperatively, no signs of hernia recurrence were observed. According to available literature, this is the first conservatively treated occult testicular artery injury during TAPP inguinal hernioplasty.
引用
收藏
页码:200 / 203
页数:4
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