2024 Volume 49 Issue 6 Pages 525-531
In recent years, cases of laparoscopic surgery for hydrocele of the canal of Nuck have been reported. Inguinal incisions are usually used in this type of surgery. By laparoscopic observation, we performed two resections using an inguinal incision. Case 1 is the case of a 47-year-old woman who underwent a CT scan, which showed a cystic lesion in the right inguinal region, suggestive of a hydrocele of the canal of Nuck. Laparoscopy revealed another nodule close to the lesion in the internal inguinal ring. Case 2 is the case of a 37-year-old woman who was diagnosed with a left inguinal hernia after undergoing ultrasonography. Laparoscopy revealed a cyst protruding toward the abdominal cavity in the left internal inguinal ring, which was suggestive of a hydrocele of the canal of Nuck. In each case, the lesions were resected without any complications from the inguinal incision under laparoscopic observation. Due to reports of hydrocele recurrence, endometriosis as a complication, and rare cases of malignancy, hydroceles should be removed without rupturing. Although cases of laparoscopic resection have been reported in literature, a more advanced technique is indicated, and consideration for fertility should be made. Therefore, due to safety concerns, we performed resection using an inguinal incision under laparoscopic observation.
