Giant Inguinoscrotal Hernia Repaired by Lichtensteins Technique Without Loss of Domain -A Case Report

Hn, Dinesh; Cd, Jagadish Kumar; Shreyas, N

doi:10.7860/jcdr/2014/9662.4882

Cited by 5 publications

(1 citation statement)

References 9 publications

(7 reference statements)

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“…Increased intra-abdominal pressure can lead to diaphragm dysfunction and respiratory or cardiac distress. It can also lead to reduced venous blood return, bowel obstruction or even wound dehiscence [9] .…”

Section: Discussionmentioning

confidence: 99%

Treatment of a half century year old giant inguinoscrotal hernia. A case report

Sahsamanis

Samaras

Basios

et al. 2016

International Journal of Surgery Case Reports

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HighlightsGiant inguinoscrotal hernias are a rare entity in modern clinical practice mainly because of the patient’s neglect.Our patient had a type II giant inguinoscrotal hernia extending below the midline between mid-inner thigh and suprapatellar bone lines.We avoided preoperative or intraoperative procedures for the lengthening of the abdominal wall.Despite the longevity and size of the hernia, we avoided a debulking procedure, instead we performed a lower midline incision and connected it with an extended right inguinal incision.Patient’s recovery was uneventful with no complications or signs of recurrence at 6 month follow up.

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Section: Discussionmentioning

confidence: 99%

Treatment of a half century year old giant inguinoscrotal hernia. A case report

Sahsamanis

Samaras

Basios

et al. 2016

International Journal of Surgery Case Reports

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Réparation prothétique des hernies inguinoscrotales volumineuses par voie trans-inguinale

Lin

Lü

Lin

et al. 2020

Journal de Chirurgie Viscérale

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Surgical treatment strategies for giant inguinoscrotal hernia – a case report with review of the literature

et al. 2017

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BackgroundAn inguinoscrotal hernia is defined as “giant” if descending below the midpoint of the inner thigh of a patient in upright position. In developed countries this is a rare entity. In the literature different surgical techniques have been reported so far to achieve a successful treatment.Case presentationWe present the case of a 63 year-old man suffering from a giant inguinoscrotal hernia, whom we treated using a combined open transabdominal and inguinal approach following an unsuccessful laparoscopic attempt. Meshes were placed in a premuscular position (Lichtenstein’s procedure) and in a preperitoneal position. In addition, a reconstruction of the abdominal wall by modified components separation technique was performed. During the early postoperative period no complications were registered. Intensive care treatment was not necessary. The patient was discharged on postoperative day 8 in an excellent condition. Six months after surgery a scrotal hematocele was diagnosed and operatively removed. After a follow-up of 1.5 years neither hernia recurrence, nor chronic groin pain were recorded. The patient reported to be sexually active. His quality of life improved notably.Additionally, a Medline and PubMed database research was performed to create an overall picture of the existing surgical treatment strategies. Included were patients with diagnosis of primary giant inguinoscrotal hernia according to the given definition. Emergency interventions and cases without details of the surgical approach were excluded.ConclusionsFirstly, this report describes a novel, successful surgical treatment of a giant inguinoscrotal hernia without administering preoperative progressive pneumoperitoneum therapy or visceral resection. Secondly, we summarize cases previously reported as a practical guide for possible surgical therapy approaches.

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Giant Inguinoscrotal Hernia Repaired by Lichtensteins Technique Without Loss of Domain -A Case Report

Cited by 5 publications

References 9 publications

Treatment of a half century year old giant inguinoscrotal hernia. A case report

Treatment of a half century year old giant inguinoscrotal hernia. A case report

Réparation prothétique des hernies inguinoscrotales volumineuses par voie trans-inguinale

Surgical treatment strategies for giant inguinoscrotal hernia – a case report with review of the literature

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