Laparoscopic Repair of Extraperitoneal Ureteral Inguinal Hernia With Mesh Placement

Ulugbek Negmadjanov; Megan Daubert; Robert D Rawlinson; Mark R Licht; Jose Yeguez

doi:10.7759/cureus.11067

Laparoscopic Repair of Extraperitoneal Ureteral Inguinal Hernia With Mesh Placement

Cureus. 2020 Oct 20;12(10):e11067. doi: 10.7759/cureus.11067.

Authors

Ulugbek Negmadjanov¹, Megan Daubert¹, Robert D Rawlinson¹, Mark R Licht², Jose Yeguez¹

Affiliations

¹ Surgery, Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, USA.
² Urology, Boca Raton Regional Hospital, Boca Raton, USA.

Abstract

Ureteral inguinal hernias are a well-described entity, within the spectrum of sliding hernias, with over 140 cases described since 1880. Though herniation of the ureter is relatively rare and complete ureteric obstruction is infrequent, a massive herniation may cause complete obstruction, leading to hydronephrosis. Management of these hernias is challenging and poses a significant danger of inadvertent injury and entrapment of a tortuous ureter. When faced with this type of hernia, extreme care should be taken to perform the appropriate preoperative workup and thoroughly plan the surgical approach. The present case describes a patient with a known ureteral inguinal hernia, who underwent a laparoscopic repair of the hernia with mesh placement.

Keywords: hydronephrosis; laparoscopic hernia repair; ureteral inguinal hernia.

Publication types

Case Reports