Lipomas of the cord and round ligament

Annals of Surgery
Michael C Lilly, M Arregui

Abstract

To determine the incidence, significance, and anatomy of spermatic cord and round ligament lipomas. This was a retrospective review of 280 hernia repairs on 217 patients performed by a single surgeon (M.E.A.) from January 1996 to January 2000. The incidence of cord lipoma and relationship to inguinal hernia were evaluated. Further, when identified at the time of laparoscopic preperitoneal hernia repair, the anatomy of the lipomas was studied both at the time of surgery and again on review of videotapes. One hundred ninety-nine laparoscopic and 81 open inguinal hernia repairs were performed on 192 male patients and 25 female patients. Sixty-three lipomas of the cord were identified for an incidence of 22.5%. Overall, 18 cord lipomas were found in groins without hernias, and these were identified before surgery in 10 (2 by physical examination, 7 by groin ultrasound, and 1 by magnetic resonance imaging). The remaining nine were misidentified as a hernia before surgery. Fourteen of these patients presented with groin pain and four were asymptomatic. Forty-five lipomas were associated with hernias and were characterized as a hernia by examination in 43 instances. There were 32 (51%) cord lipomas associated with indirect hernias, 11...Continue Reading

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Citations

Mar 14, 2007·Hernia : the Journal of Hernias and Abdominal Wall Surgery·M MiserezJ B Flament
Jul 5, 2007·Hernia : the Journal of Hernias and Abdominal Wall Surgery·H Lau
Jul 26, 2011·Hernia : the Journal of Hernias and Abdominal Wall Surgery·T J Miller, D G Paulk
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