Elementary School
Present s
Testicular Torsion Following Inguinal Hernia Surgery
What Is Inguinal Inguinal hernia is a bulge of tissues in Hernia the intestine that protrudes through the lower abdominal wall.
Risk factors Of Inguinal • Children from 0-5Hernia while adults from 75-80 • Weaker connective tissue • Genetic factors • Obesity • Prior abdominal surgery
Symptoms of Inguinal Hernia A bulge on either side of the pubic bone area,
apparent
when
the
individual
coughs or strains. A sensation of pain or burning in the bulge. Discomfort and a sensation of heaviness
Diagnosis of Inguinal Hernia Previous medical record examination
Examination of the abdomen
MRI & CTscan
Treatment for Inguinal Hernia • Muscle strengthening exercise • • • •
Surgical repair Open inguinal herniorrhaphy Laparoscopic inguinal herniorrhaphy Robotic-assisted inguinal hernia repair
Testicular Torsion following Inguinal Hernia Repair • Testicular torsion is a urological emergency occurring due to the torsion of the spermatic cord structures. • The spermatic cord may be damaged by prolonged inflammatory tissue remodeling after inguinal hernia surgery. • The mesh repair procedure may induce an inflammatory response that leads to the enclosure of the spermatic cord by scar tissue. • This may rarely block the blood supply that may cause acute scrotum and end up in testicular complications after hernia surgery.
Wrap-Up •The medical negligence of the general surgeon during the hernia surgery and the failure to diagnose the complication on time causes medical complications in the patient. This resulted in loss of testicle from hernia surgery. •Medical error which happened during the surgery and the negligence caused in timely diagnosis of the complication is evidently a medical malpractice.
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