Inguinal Hernia Repair With Cord Lipoma

Should i report an additional code for the excision. I am receiving mixed opinions. The incidence of cord lipoma and relationship to inguinal hernia were evaluated.

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Spermatic cord lipoma is the most common benign fatty mass of the inguinal canal and can cause hernia like symptoms without a true hernia.

Inguinal hernia repair with cord lipoma. Inguinal hernia repair and spermatic cord lipoma. Inguinal hernias tend to occur in men in the spermatic cord area as this is an open channel which has the least strong muscular covering in the area. Often it gets worse throughout the day and improves when lying down. This may include pain or discomfort especially with coughing exercise or bowel movements.

Symptoms are present in about 66 of affected people. The pathology report shows the specimen is a hernia sac and final diagnosis is fibroadipose tissue. Carilli s 1 alper a emre a. Among these lipoma of cord is commonest but is seldom encountered.

They appear as a slow growing painless swelling in the inguinal area. 1 general surgery department vkf american hospital 80200 istanbul turkey. They can cause hernia type symptoms in the absence of a true hernia. Further when identified at the time of laparoscopic preperitoneal hernia repair the anatomy of the lipomas was studied both at the time of surgery and again on review of videotapes.

Would it be appropriate to report code 55520 excision of lesion of spermatic cord separate procedure in addition to an inguinal hernia repair code eg 49505. Although many inguinal hernias do not involve a cord lipoma this type of lump is often found in inguinal hernia cases. An inguinal hernia is a protrusion of abdominal cavity contents through the inguinal canal. Epub 2004 apr 23.

Number swellings appear in scrotum out of which approximately 70 originate in the spermatic cord. Lipomas are usually incidentally found reportedly seen in 22 of patients at hernia repair 45. During an inguinal hernia repair 49505 with mesh the surgeon performs an excision of a lipoma of the spermatic cord. A bulging area may occur that becomes larger when bearing down.