PMC9970727_01
CT scan of the pelvis and lower abdomen.. Axial plane of the CT scan. The red arrow indicates the left inguinal hernia.
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FIG1
A pelvic computed tomography (CT) scan with contrast showed a fat-containing 8 cm left inguinal hernia (Figures 1, 2).
CT scan of the pelvis and lower abdomen.. Sagittal plane of the CT scan. The red arrow indicates the left inguinal hernia, and the green arrow indicates the fluid reservoir in the abdominal cavity.
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FIG2
A pelvic computed tomography (CT) scan with contrast showed a fat-containing 8 cm left inguinal hernia (Figures 1, 2).
Robotic repair of the incarcerated hernia.. Intraoperative image of the robotic transabdominal preperitoneal hernia repair. Omental fat (yellow arrow) is trapped around the fluid reservoir (green arrow) and the tube (blue arrow) inside the abdominal cavity.
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FIG3
The reservoir from his previous surgery was located inside the abdominal cavity, and there was a piece of omental fat trapped within the hernia sac that was entangled with the tubing that connected the reservoir to the pump of the penile implant (Figure 3).
Robotic repair of the incarcerated hernia.. Intraoperative image of the robotic transabdominal preperitoneal hernia Repair. Untangled tube (blue arrow) and reservoir (green arrow) inside the abdominal cavity.
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FIG4
It was possible to separate the structures and reduce the incarcerated hernia completely inside the abdominal cavity (Figure 4).
Robotic repair of the incarcerated hernia.. Intraoperative image of the robotic transabdominal preperitoneal hernia repair. Mesh (yellow arrow) placed underneath the pelvic muscles, tube (blue arrow), and reservoir (green arrow) inside the abdominal cavity.
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FIG5
A polypropylene mesh was applied to decrease the risk of recurrence (Figure 5).