Abstract：
Cord lipomas are frequent findings in laparoscopic inguinal hernia surgeries in male patients. The symptoms of lipoma and the potential benefits of removing them are often overlooked because the focus is on the primary pathology of the hernia itself. Current recommendations are to reduce this fatty content, when present. When inguinal cord lipomas are left untreated in inguinal hernia surgery they can potentially cause symptoms and be detected in follow-up imaging exams. The objective of this study was to study incidence of cord lipomas in a cohort operated on by a single group specializing in abdominal wall surgery, as well as to analyze the possible relationship of this finding with the patient\'s symptoms, the characteristics of the operated hernia and postoperative outcome. This is a prospective study of male patients operated on for inguinal hernia laparoscopically or robotically in a single reference center. Of the total of 141 hernias, the distribution according to European Hernia Society classification showed that 45.4% were lateral, 19.1% medial and 35.5% mixed, highlighting a variety in the presentation of hernias. Analysis of the size of the hernias revealed that the majority (35.5%) were ≤ 1.5 cm. Inguinal cord lipoma was present in 64.5% of the samples, with no statistically significant association between the presence of the lipoma and an indirect hernia sac or obesity. The incidence of surgical site occurrences (SSO) was 9,2%, with seroma and hematoma. No recurrences were observed during follow-up, indicating a successful approach. There were no statistically significant relationships between SSO, the presence of lipoma and indirect hernial sac.
摘要：
脊髓脂肪瘤是男性患者腹腔镜腹股沟疝手术中常见的发现。脂肪瘤的症状和去除它们的潜在益处经常被忽视，因为重点是疝气本身的原发性病理。目前的建议是减少这种脂肪含量，当存在。当在腹股沟疝手术中不治疗腹股沟索脂肪瘤时，它们可能会引起症状并在后续影像学检查中被发现。这项研究的目的是研究由专门从事腹壁手术的单个小组进行手术的队列中脐带脂肪瘤的发生率。以及分析这一发现与患者症状的可能关系，手术疝的特点及术后转归。这是在单个参考中心腹腔镜或机器人手术治疗腹股沟疝的男性患者的前瞻性研究。在总共141例疝气中,根据欧洲疝学会分类的分布显示，45.4%是横向的，19.1％的中间和35.5％的混合，突出了疝气的各种表现。对疝气大小的分析表明，大多数（35.5％）≤1.5cm。64.5%的样本中存在腹股沟索脂肪瘤，脂肪瘤的存在与间接疝囊或肥胖之间没有统计学上的显着关联。手术部位发生率(SSO)为9.2%,有血清肿和血肿.随访期间未观察到复发，这是一个成功的方法。SSO、脂肪瘤和间接疝囊的存在。
