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Intraoperative findings showing: A) Left side direct inguinal hernia; and, B) right side indirect inguinal hernia.

Intraoperative findings showing: A) Left side direct inguinal hernia; and, B) right side indirect inguinal hernia.

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Article
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Introduction Chronic cell leukemia discovered incidentally in extra-saccular inguinal lymph node during laparoscopic bilateral inguinal hernia repair is extremely rare. Presentation of case 62-year-old Romanian male presented at the outpatient general surgery clinic in April 2019 complaining of bilateral inguinal swelling that gradually increased...

Contexts in source publication

Context 1
... in October 2019. Intraoperatively, he was intubated (orotracheal) and placed in supine position, and under aseptic measures, a 10 mm supraumbilical port inserted by open technique, and another two 5 mm ports were inserted at the bilateral flank area. Inspection of the abdominal cavity using endo-camera showed a left side direct inguinal hernia (Fig. 1A), and a right side indirect inguinal hernia (Fig. 1B). The same steps of the procedure were undertaken on both sides of the inguinal hernia, where a senior consultant surgeon created a peritoneal flap starting 5 cm above the hernia canal at the level of the anterior superior iliac spine. The incision was then advanced to the medial side ...
Context 2
... (orotracheal) and placed in supine position, and under aseptic measures, a 10 mm supraumbilical port inserted by open technique, and another two 5 mm ports were inserted at the bilateral flank area. Inspection of the abdominal cavity using endo-camera showed a left side direct inguinal hernia (Fig. 1A), and a right side indirect inguinal hernia (Fig. 1B). The same steps of the procedure were undertaken on both sides of the inguinal hernia, where a senior consultant surgeon created a peritoneal flap starting 5 cm above the hernia canal at the level of the anterior superior iliac spine. The incision was then advanced to the medial side of the transverse plane through the upper 5 cm of ...

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