Abstract
Case 1 : A 53-year-old man who had undergone renal transplantation (RT) at 30 years of age presented with a gradually increasing right inguinal swelling in 2004. Lichtenstein operation was performed in June 2006. The hernia was diagnosed as a supravesical hernia, class II-1. The internal hernia ring was destroyed, with considerable internal deviation of the spermatic cord. Case 2 : A 44-year-old man who had undergone RT at the age of 25 years presented with a gradually increasing right inguinal swelling in 2005, and Lichtenstein operation was performed in June 2008. The hernia was diagnosed as an internal hernia, class I-2. In these inguinal hernia operations after RT, it was very difficult to confirm the position of the spermatic cord and peel the inguinal canal floor because of firm adhesions of the inguinal canal and/or retroperitoneal space. To avoid inadvertent injury to the transplanted kidney, in case of patients with a transplanted kidney, the retroperitoneal tissue should be carefully dissected unlike that in inguinal hernia operations in patients without transplanted kidney. From this point of view, Lichtenstein operation is a suitable procedure for transplant-side inguinal hernias.
