Management of congenital giant inguinal scrotal hernias in the newborn

Abstract

Giant inguinoscrotal hernias are a rare entity seen largely in the adult population. Presentation in the child is more unusual, with only one case previously documented. As there is scant literature regarding these hernias in children, their management may be challenging. Here, we present the case of a newborn born with giant bilateral inguinal hernias complicated by in utero perforation and meconium peritonitis managed by laparoscopy and then laparotomy for repair. The case illustrates several points that may be useful for pediatric surgeons who may encounter this condition.

An alternative approach for management of the congenital giant inguinal hernia in neonates

“…In a recent case reported by Khozeimeh et al [7], the authors describe a remarkably similar case of a newborn with giant bilateral inguinal hernias and prenatal perforation. In their case report, the authors elected to repair the hernia defect primarily via the laparotomy incision.…”

Bilateral giant inguinoscrotal hernia: A case report

“…With 12.5% of total GIH cases being bilateral GIHs, the occurrence of bilateral cases is even rarer [10] . Bilateral GIH occurs mostly in older adults but few cases in paediatric population have also been reported [10] , [11] , [12] .…”

Definition of giant inguinoscrotal hernias in infants and evaluation of reliable surgical approach in a single-center study

“…The thickening of the creamaster muscles makes the dissection of the sac from the cord and veins difficult, which is performed during standard high ligation. In giant hernias, it is much more likely to damage these structures when trying to separate the sac from the cord and testicular vessels [4]. In hernioplasty with Zig maneuver, the vas deferens and vessels adjacent to the sac wall could be dissected from the sac wall meticulously by checking them inside of the sac wall as well as the outside.…”