Laparoscopic Transabdominal Preperitoneal Approach with Negative Pressure Drainage for Giant Inguinal Hernia

Luo, Hailong; Zhang, Haolong; Sun, Jianming; Chen, Yikuan; Qi, Xiaotong; Wang, Haiyang; Tang, Bo

doi:10.1089/lap.2020.0700

Cited by 1 publication

(3 citation statements)

References 24 publications

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“…This study also supports the principle of management given by Trakarnsagna et al in bilateral cases. The additional advantages of TAPP among patients with type I GIH in comparison to the open hernioplasty that was performed in our patient include smaller wound size, eligibility of procedure in patients with skin infections, easier reduction of contents and coverage of whole defect by mesh with convenience [5] , [13] . Concern regarding incisional or mesh infection due to large incision in open repair have been raised [13] .…”

Section: Discussionmentioning

confidence: 93%

“…One study conducted among 32 patients with type I GIH including a case of bilateral GIH showed that laparoscopic surgery using Transabdominal Pre-peritoneal (TAPP) approach with negative pressure drain can be performed with safety and low post-operative complications [5] . This study also supports the principle of management given by Trakarnsagna et al in bilateral cases.…”

Section: Discussionmentioning

confidence: 99%

“…Giant inguinoscrotal hernia (GIH) is defined as hernia extending below the midpoint of inner thigh of a patient in erect position [1] . It is a rare disease whose clinical presentation ranges from otherwise asymptomatic swelling, pain, urinary complains, abdomen discomfort to complications like bowel obstruction, strangulation and even end stage renal disease [2] , [3] , [4] , [5] , [6] .…”

Section: Introductionmentioning

confidence: 99%

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Bilateral giant inguinoscrotal hernia: A case report

Basukala

Rijal

Pathak

et al. 2021

International Journal of Surgery Case Reports

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Introduction Bilateral giant inguinoscrotal hernia (GIH) is rare and creates significant challenge in surgical management. The main concern of hernia reduction to abdominal cavity is development of abdominal compartment syndrome (ACS). Different approaches for prevention of ACS after surgery have been suggested. Case presentation We report a case of 68-year-old male with bilateral inguinoscrotal hernia for 20 years reaching just below midpoint of thigh. He presented with difficulty in micturition and mobility. Preoperative investigations were normal. He underwent bilateral mesh repair without any preoperative or intraoperative adjunct measures. No significant complication occurred in postoperative period. Case discussion Bilateral GIH is rare and the patients usually present late. GIH has been classified into three types on the basis of extension. Type I GIH can be managed with simple hernioplasty, in both unilateral and bilateral cases. Measures like resection of hernia contents and measures to enlarge intraabdominal space are warranted in type II and III GIH. Abdominal volume can be increased by utilising techniques like Pre-operative Progressive Pneumoperitoneum (PPP), injection of Botulinum toxin A (BTA) in the anterior abdominal wall, and rotation of viable tissue. The measures can be used either alone or in combination. Conclusion Type I GIH can be treated with simple hernioplasty with safety with monitoring for features of ACS and respiratory complications postoperatively. However, additional measures like resection of hernia contents or procedures to enlarge intra-abdominal space are warranted for type II and III GIH.

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Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%