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Given that no dissection was necessary in the preperitoneal space around the external iliac artery, which was anastomosed with an artificial vessel graft, and that the procedures could be performed above the transverse abdominis, the Lichtenstein method was selected for the case. This intervention demonstrated technical challenges in creating the space for mesh placement under the artificial vessel graft. During the procedure, the artificial vessel graft and posterior wall of the inguinal canal required careful dissection due to the adhesion of these structures. The case outcome was favorable.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf597","type":"journal-article","created":{"date-parts":[[2025,8,4]],"date-time":"2025-08-04T07:45:48Z","timestamp":1754293548000},"source":"Crossref","is-referenced-by-count":0,"title":["Inguinal hernia repair after ilio-iliac artery bypass"],"prefix":"10.1093","volume":"2025","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5021-8521","authenticated-orcid":false,"given":"Yohei","family":"Kawatani","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, Kamagaya General Hospital , 929-6, Hatsutomi, Kamagaha-Shi, Chiba-Ken 273-0121 ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takahisa","family":"Hirano","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Kamagaya General Hospital , 929-6, Hatsutomi, Kamagaha-Shi, Chiba-Ken 273-0121 ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takaki","family":"Hori","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Kamagaya General Hospital , 929-6, Hatsutomi, Kamagaha-Shi, Chiba-Ken 273-0121 ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,8,4]]},"reference":[{"key":"2025080403454405200_ref1","doi-asserted-by":"publisher","first-page":"431","DOI":"10.9738\/INTSURG-D-14-00226.1","article-title":"Hybrid laparoscopic and anterior approach for postsurgical inguinal hernia after iliofemoral arterial bypass","volume":"100","author":"Tsukada","year":"2015","journal-title":"Int Surg"},{"key":"2025080403454405200_ref2","doi-asserted-by":"publisher","first-page":"1157","DOI":"10.1007\/s004649901195","article-title":"Bilateral inguinal hernia repaired by laparoscopic technique: a rare complication of femorofemoral bypass","volume":"13","author":"Kawamura","year":"1999","journal-title":"Surg Endosc"},{"key":"2025080403454405200_ref3","doi-asserted-by":"publisher","first-page":"719","DOI":"10.1016\/j.eururo.2010.08.006","article-title":"Inguinal hernia after radical prostatectomy for prostate cancer: results from a randomized setting and a nonrandomized setting","volume":"58","author":"Stranne","year":"2010","journal-title":"Eur Urol"},{"key":"2025080403454405200_ref4","doi-asserted-by":"publisher","first-page":"536","DOI":"10.1016\/S0090-4295(99)80491-9","article-title":"Incidence of inguinal hernias following radical retropubic prostatectomy","volume":"47","author":"Regan","year":"1996","journal-title":"Urology"},{"key":"2025080403454405200_ref5","doi-asserted-by":"publisher","first-page":"180","DOI":"10.1016\/j.ijscr.2019.08.017","article-title":"Open mesh plug repair for inguinal hernia after femoro-femoral arterial bypass: two retrospective case series","volume":"65","author":"Onda","year":"2019","journal-title":"Int J Surg Case Rep"},{"key":"2025080403454405200_ref6","doi-asserted-by":"publisher","first-page":"39","DOI":"10.1016\/j.ijscr.2018.11.045","article-title":"Pseudoaneurysm: a complication of laparoscopic inguinal hernia repair","volume":"54","author":"Singh","year":"2019","journal-title":"Int J Surg Case Rep"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/8\/rjaf597\/63926456\/rjaf597.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/8\/rjaf597\/63926456\/rjaf597.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,4]],"date-time":"2025-08-04T07:45:49Z","timestamp":1754293549000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjaf597\/8221618"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8]]},"references-count":6,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2025,8,3]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjaf597","relation":{},"ISSN":["2042-8812"],"issn-type":[{"type":"electronic","value":"2042-8812"}],"subject":[],"published-other":{"date-parts":[[2025,8]]},"published":{"date-parts":[[2025,8]]},"article-number":"rjaf597"}}