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Importance of lipoma of the cord
Cord “lipomas” are not really lipomas like tumors in your arm or leg. They are preperitoneal fat that has herniated through the internal ring. They are usually removed during open hernia surgery and not removed during laparoscopic repair because it is not necessary. They can produce the same symptoms as any hernia except for bowel obstruction because they push on nerves and can even strangulate which causes severe pain as the fat dies. There is no difference between a cord lipoma and a fat containing hernia.