Laparoscopic Fenestration of a Giant Pseudocyst after Totally Extra Peritoneal Inguinal Hernia Repair

A giant pseudocyst is a rare complication after hernioplasty and is seldom seen. The pathophysiology is unclear; it characteristically does not contain epithelial lining and can be considered giant if the diameter exceeds 10 cm. Pseudocysts are mostly described after incisional hernia repairs and ar...

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Main Authors: Yu-Ting van Loon, Maaike S. Ibelings
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/2016/9867645
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author Yu-Ting van Loon
Maaike S. Ibelings
author_facet Yu-Ting van Loon
Maaike S. Ibelings
author_sort Yu-Ting van Loon
collection DOAJ
description A giant pseudocyst is a rare complication after hernioplasty and is seldom seen. The pathophysiology is unclear; it characteristically does not contain epithelial lining and can be considered giant if the diameter exceeds 10 cm. Pseudocysts are mostly described after incisional hernia repairs and are usually treated with surgical resection. We report a case of a giant pseudocyst three years after totally extra peritoneal inguinal hernia repair. Laparoscopic fenestration without removing the pseudocyst with or without removal of the polypropylene mesh is a safe and effective minimal invasive approach to the treatment of a symptomatic pseudocyst and should also be considered in the approach of other large symptomatic cysts.
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institution Kabale University
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series Case Reports in Surgery
spelling doaj-art-8d5eb350c7f94ec48b3a63513d5fc7252025-02-03T05:44:57ZengWileyCase Reports in Surgery2090-69002090-69192016-01-01201610.1155/2016/98676459867645Laparoscopic Fenestration of a Giant Pseudocyst after Totally Extra Peritoneal Inguinal Hernia RepairYu-Ting van Loon0Maaike S. Ibelings1Department of Surgery, Elisabeth-TweeSteden Hospital, Tilburg, NetherlandsDepartment of Surgery, Elisabeth-TweeSteden Hospital, Tilburg, NetherlandsA giant pseudocyst is a rare complication after hernioplasty and is seldom seen. The pathophysiology is unclear; it characteristically does not contain epithelial lining and can be considered giant if the diameter exceeds 10 cm. Pseudocysts are mostly described after incisional hernia repairs and are usually treated with surgical resection. We report a case of a giant pseudocyst three years after totally extra peritoneal inguinal hernia repair. Laparoscopic fenestration without removing the pseudocyst with or without removal of the polypropylene mesh is a safe and effective minimal invasive approach to the treatment of a symptomatic pseudocyst and should also be considered in the approach of other large symptomatic cysts.http://dx.doi.org/10.1155/2016/9867645
spellingShingle Yu-Ting van Loon
Maaike S. Ibelings
Laparoscopic Fenestration of a Giant Pseudocyst after Totally Extra Peritoneal Inguinal Hernia Repair
Case Reports in Surgery
title Laparoscopic Fenestration of a Giant Pseudocyst after Totally Extra Peritoneal Inguinal Hernia Repair
title_full Laparoscopic Fenestration of a Giant Pseudocyst after Totally Extra Peritoneal Inguinal Hernia Repair
title_fullStr Laparoscopic Fenestration of a Giant Pseudocyst after Totally Extra Peritoneal Inguinal Hernia Repair
title_full_unstemmed Laparoscopic Fenestration of a Giant Pseudocyst after Totally Extra Peritoneal Inguinal Hernia Repair
title_short Laparoscopic Fenestration of a Giant Pseudocyst after Totally Extra Peritoneal Inguinal Hernia Repair
title_sort laparoscopic fenestration of a giant pseudocyst after totally extra peritoneal inguinal hernia repair
url http://dx.doi.org/10.1155/2016/9867645
work_keys_str_mv AT yutingvanloon laparoscopicfenestrationofagiantpseudocystaftertotallyextraperitonealinguinalherniarepair
AT maaikesibelings laparoscopicfenestrationofagiantpseudocystaftertotallyextraperitonealinguinalherniarepair