title: Laparoscopic orchidopexy with transabdominal preperitoneal hernia repair in an adult.
abstract: We report an adult who underwent laparoscopic orchidopexy and transabdominal preperitoneal hernia repair. The patient was a 53-year-old man who was referred to our hospital for a bulge and pain in his left inguinal area. An abdominal CT scan revealed that the greater omentum was incarcerated in a left inguinal hernia. The patient underwent emergency laparoscopic surgery immediately. After reduction, he was diagnosed with bilateral cryptorchidism and inguinal hernia. After adequate mobilization, pneumoperitoneum was discontinued, and orchidopexy was performed with the Lichtenstein tension-free hernioplasty. One month later, the patient underwent elective laparoscopic orchidopexy with transabdominal preperitoneal hernia repair on his right side. The patient's postoperative course has been uneventful, with no evidence of hernia recurrence to date. This procedure is safe and may be an option for adult patients who desire testis preservation. This may be the first report of laparoscopic hernia repair with orchidopexy.
authors.affiliation: Departments of Emergency and Critical Care, National Hospital Organization, Tokyo Medical Center, Tokyo, Japan.
authors.forename: Kenichiro
authors.initials: K
authors.lastname: Omoto
authors.affiliation: Departments of Surgery, National Hospital Organization, Tokyo Medical Center, Tokyo, Japan.
authors.forename: Yuichi
authors.initials: Y
authors.lastname: Nishihara
authors.affiliation: Departments of Surgery, National Hospital Organization, Tokyo Medical Center, Tokyo, Japan.
authors.forename: Yoshiki
authors.initials: Y
authors.lastname: Kawaguchi
authors.affiliation: Departments of Surgery, National Hospital Organization, Tokyo Medical Center, Tokyo, Japan.
authors.forename: Hidejiro
authors.initials: H
authors.lastname: Urakami
authors.affiliation: Departments of Surgery, National Hospital Organization, Tokyo Medical Center, Tokyo, Japan.
authors.forename: Shiko
authors.initials: S
authors.lastname: Seki
authors.affiliation: Departments of Surgery, National Hospital Organization, Tokyo Medical Center, Tokyo, Japan.
authors.forename: Takashi
authors.initials: T
authors.lastname: Ohishi
authors.affiliation: Departments of Surgery, National Hospital Organization, Tokyo Medical Center, Tokyo, Japan.
authors.forename: Yoh
authors.initials: Y
authors.lastname: Isobe
authors.affiliation: Departments of Surgery, National Hospital Organization, Tokyo Medical Center, Tokyo, Japan.
authors.forename: Sumio
authors.initials: S
authors.lastname: Matsumoto
mesh_terms: D003456:Cryptorchidism / Q000150:complications / Q000601:surgery*; D006552:Hernia, Inguinal / Q000150:complications / Q000601:surgery*; D059685:Herniorrhaphy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D056126:Orchiopexy / Q000379:methods*
keywords: Cryptorchidism; TAPP; orchidopexy