Inguinal hernia and cord lipomas
10.3760/cma.j.issn.1673-4203.2009.02.020
- VernacularTitle:腹股沟疝与精索脂肪瘤
- Author:
Jinxing GONG
;
Lu GUO
- Publication Type:Journal Article
- Keywords:
inguinal hernias;
cord lipomas
- From:
International Journal of Surgery
2009;36(2):129-131
- CountryChina
- Language:Chinese
-
Abstract:
Cord lipoma is a trite lipoma, it is a protrusion of extraperitoneal fatty tissue through the internal inguinal ring. The incidence is between 20% to 30%.It is often caused by a protrusion of extraperitoneal fatty tissue through the internal inguinal ring, lobular retroperitoneal fat insinuates itself through the internal ring and over time dilates it. Patients with a higher BMI are more prone to having a cord lipoma. Incidence of lipoma associated with Type II and Ⅲ hernias was bigher. it is suggest that the incidence of lipoma assoeiated with the type of hernias and patients with a larger hernias are more prone to having a coM lipoma. The cord lipoma is difficult to diagnosis before surgery,because it is similar to hernias in symptom. Ultrasound is safe and useful in finding hernias and cord lipoms, the overall accuracy is 92%. It is necessary to resect lipomas and repair as long as the extraperitoneal fatty tissue through into the inguinal canal.