A 41-year-old male came to our consultation for surgical evaluation of a right inguinal hernia. Physical examination corroborated the presence of a right indirect inguinal hernia. The right testicle was absent, which the patient described as ascended since childhood.
We conducted TEP (Total Extra-Peritoneal) hernia repair with placement of a self-gripping mesh. After reducing the hernia sac and pre-hernia lipoma, we observed persisting content in the inguinal canal. During surgery, an atrophic testis was identified in the inguinal canal, and we therefore carried out orchiectomy. The pathological study ruled out malignancy.
Diagnosis: cryptorchidism.
Please cite this article as: Domínguez-Garijo P, González-Abós C, Butori E, Ginestà C. Orquiectomía preperitoneal durante hernioplastia mediante abordaje TEP. Cir Esp. 2022;100:174.
