Phrenicectomy as Aid to Repair of Large Abdominal Hernias

Component Separation in the Repair of a Giant Inguinoscrotal Hernia

“…Other described techniques to facilitate reduction of large hernias include phrenectomy, creation of a ventral hernia with repair using Marlex mesh and scrotal skin flaps and preoperative artificial pneumoperitoneum 1,3,6,8,9,12,13 . Unfortunately, the success of these techniques have only been reported in single case reports or at best small case series with a large series yet to be published.…”

“…1,7 Other described techniques to facilitate reduction of large hernias include phrenectomy, creation of a ventral hernia with repair using Marlex mesh and scrotal skin flaps and preoperative artificial pneumoperitoneum. 1,3,6,8,9,12,13 Unfortunately, the success of these techniques have only been reported in single case reports or at best small case series with a large series yet to be published. Although the technique of pneumoperitoneum has been widely described for the management of incisional hernias and large eventrations, its use in preparation for giant inguinoscrotal hernia repair has rarely been suggested.…”

Giant Inguinoscrotal Hernia: The Challenging Surgical Repair and Postoperative Management

“…2 Resection of parts of omentum, small bowel or colon [2] which is more effective and commonly used method [6,18,19,20].…”

Repair of massive inguinal hernia with loss of abdominal domain using laparoscopic component separation technique

“…They usually present with significant implications to patients' quality of life, including difficulties with mobility, retention of urine, bowel obstruction and scrotal skin ulceration. Reduction of hernial contents may produce alterations in intraabdominal and intrathoracic pressures, precipitating cardiac or respiratory failure [2, 3]. The risk of wound dehiscence and hernia recurrence is also greater with forced closure with a recurrence rate of up to 30% [4].…”