Akademik Veri Yönetim Sistemi
1st Joint Meeting of IPEG & ESPES, 5-8 July 2023 in Sorrento, ITALY., Naples, İtalya, 6 - 09 Temmuz 2023, ss.57-58
present itself as a recurrent inguinal hernia. Because of that it's often
misdiagnosed. Herein it is aimed to present the incidentally detected
ipsilateral direct hernia and its laparoscopic repair in a patient who
were operated laparoscopically due to indirect inguinal hernia.
Patient and methods: A 10-year-old boy with no known comorbidity
was admitted to the emergency room due to swelling in the left
inguinal region. Left inguinal hernia was observed in the patient, and
the herniated intestines were reduced then surgery was decided. A
camera trocar was inserted through the navel to perform surgery
with the PIRS technique. It was observed that the left inguinal ring
was open and the omentum was attached to it. Direct hernia was
detected in the medial epigastric vein on the same side. First, a
working trocar was entered from the left lateral rectus and the
omentum was separated from the inguinal canal with the help of a
dissector. First, the inguinal hernia, then the direct hernia was
repaired with 2/0 etibond in accordance with the PIRS technique. In
direct hernia repair, the medial umbilical ligament was also attached
to the abdominal wall to strengthen the repair.
Results: No recurrence was observed in the follow-up of the patient.
Conclusions: Direct hernia is rare in children. It is often confused with
an indirect inguinal hernia. In the presented case, direct hernia was
followed up with ipsilateral inguinal hernia and repaired with
laparoscopic PIRS technique.