Zeitschrift für klinische Fallberichte

Laparoscopic Treatment for Lipoma in the Inguinal Canal without Hernia: Intracorporeal Lipoma Excision and Suture Repair of the Deep Inguinal Ring

Abstract

Sung Ryul Lee and Pyoungjae Park

Background: The clinical symptoms of inguinal lipoma (IL) are similar to those of inguinal hernia (IH). As for IH, the treatment for symptomatic IL includes surgery. This study aimed to evaluate the outcomes of laparoscopic excision of IL with suture repair of the deep inguinal ring.

Methods: The cohort of this retrospective study included 46 adult patients with IL who visited Damsoyu hospital from September 2012 to December 2016. During the same period, 1,100 patients with inguinal hernia were treated. IL was completely excised, and the deep inguinal ring was repaired with intracorporeal sutures.

Results: IL without IH was observed in 35 males and 11 females and symptoms of inguinal bulging with pain in 26 (74.3%) males and 10 (90.9%) females. IL was located in the indirect inguinal canal in 32 (91.4%) males and 7 (63.6%) females. It was separated from the preperitoneal fat in 21 (60%) males and 6 (54.5%) females.

Conclusion: When treating a groin mass in the absence of IH, IL should be suspected. Laparoscopic excision of IL and the suturing of the deep inguinal ring as posterior wall repair had a shorter surgical duration and acceptable recurrence and complication rates.