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Case Report

Hernia of Canal of Nuck

Harshad Gawade, Senior Resident, Department of General Surgery, Department of Surgery, Dr. D.Y. Patil Medical College, Hospital and Research Centre, Dr. D.Y. Patil Vidyapeeth, Pimpri, Pune, Maharashtra 411018, India. , Neha Srivastava1 , Abhishek Khosla2 , Kshitij Manerikar3 , Digvijay Jadhav4 , Harshad Gawade5 , Iqbal Ali6

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New Indian Journal of Surgery 9(5):p 684-686, Sep-Oct 2018. | DOI: DOI: https://dx.doi.org/10.21088/nijs.0976.4747.9518.29

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Abstract

Introduction: Inguinal hernia in females is quite rare and is diagnosed late due to the rarity of this condition and hence lack of awareness. Hernia of canal of nuck can be managed by various methods but Non-mesh repair still remains to be the best choice of repair as transversalis fascia in females is stronger than in males. Presentation of Case: A 50 year old female presented with a swelling in the left inguinal region since 3 years and irreducible since 7 days. Patient was diagnosed to have irreducible hernia of canal of nuck which was explored and knotted omentum was found as content. Defect was repaired by Bassini’s method. Discussion: The diagnosis of Hernia of Canal of Nuck is based on clinical presentation, physical findings and ultrasonography
is a useful tool to detect the content of inguinal hernia. Many surgical treatment modalities are available these days like tension free prosthetic repairs, laparoscopic repair (totally extraperitoneal/transabdominal preperitoneal) and tissue suture repair such as Bassini and Shouldice technique. Non-mesh repair is justifiable in female patients as transversalis fascia is strong  compared to men. Conclusion: Even without the signs of any complication this type of hernia should be managed promptly with early surgical intervention such as tension free prosthetic repairs, laparoscopic repair (totally extraperitoneal/transabdominal preperitoneal) and tissue suture repair such as Bassini and Shouldice technique 

Keywords: Hernia of Canal of Nuck; Bassini’s Repair. 

 

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DOI: DOI: https://dx.doi.org/10.21088/nijs.0976.4747.9518.29

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