Simple repair of a giant inguinoscrotal hernia

Abstract

We present a case of a giant inguinoscrotal hernia that extended almost to the patient's knees. Operative repair was through a standard transverse inguinal incision. No debulking or abdominal enlargement procedure had to be performed. The repair was done with a tension-free, onlay, prosthetic mesh repair.

Giant Inguinoscrotal Hernia—Report of a Rare Case With Literature Review

“…6 Also, the scrotal wall is thickened, and the spermatic cord stretches along with atrophy of the testis because of the massive nature of the contents. 2,3 The size of the hernia causes difficulty in walking, sitting, and lying down. Other complications include incarceration, leading to intestinal obstruction and strangulation of bowel contents.…”

“…Other complications include incarceration, leading to intestinal obstruction and strangulation of bowel contents. 3 The contents of giant inguinoscrotal hernias are usually bowel and very rarely stomach 7 ; ovaries, urinary bladder, and kidney along with the ureter have been reported. [8][9][10] As these giant inguinoscrotal hernias are usually chronic, sudden replacement of the large bowel contents into the abdominal cavity causes an abrupt increase in intra-abdominal pressure.…”

“…2 These massive hernias pose significant problems resulting from cardiorespiratory compromise following sudden increase in intra-abdominal pressure during replacement of herniated viscera. 3 In order to circumvent these complications, techniques such as debulking, phrenectomy, and progressive pneumoperitoneum have been described. 3 Here, we present a patient with giant inguinoscrotal hernia where simple reduction with omentectomy was successful, and we review the literature.…”

“…3 In order to circumvent these complications, techniques such as debulking, phrenectomy, and progressive pneumoperitoneum have been described. 3 Here, we present a patient with giant inguinoscrotal hernia where simple reduction with omentectomy was successful, and we review the literature.…”

Giant Inguino-scrotal Hernia: Repair and Management

“…Giant inguinal hernias are uncommon in modern surgical practice, but can present a challenging problem to the treating surgeon, as they can lead to potentially fatal complications especially when they presented as obstruction 1,4 . Giant inguinal hernias are defined as those which extend below the midpoint of inner thigh in the standing position.…”