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Giant Inguinoscrotal Hernia: The Challenging Surgical Repair and Postoperative Management

Received: 8 April 2017     Accepted: 28 April 2017     Published: 23 October 2017
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Abstract

Inguinal hernia operations are compulsory surgical skill assessment for residence in surgical field and most centres practice day care services for such cases. Giant inguinal hernias usually occur in neglected long standing diseases and repair of these condition added challenges in term of content reduction as well as managing postoperative complications. This case was a unique case of a giant inguinal hernia which was left untreated for 40 years. The contents of the hernia which include greater omentum, small and large bowel were reduced successfully after extension of the deep inguinal ring. The patient was ventilated and paralyzed for 48 hours in view of anticipating intraabdominal hypertension. Post operatively the patient recovered well and discharged on Day 6 post operatively.

Published in Advances in Surgical Sciences (Volume 5, Issue 5)
DOI 10.11648/j.ass.20170505.11
Page(s) 61-64
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2017. Published by Science Publishing Group

Keywords

Inguinal Hernia, Deep Inguinal Ring, Intraabdominal Hypertension

References
[1] S. E. Lee. A case of giant inguinal hernia with intestinal malrotation. International Journal of Surgery Case Reports (2012) 3, 563-564
[2] Mehendale FV, Taams KO, Kingsnorth AM. Repair of giant inguinoscrotal hernia. Br J Plast Surg 2000; 53:525-9.
[3] Hodgkinson DJ, McIlrath DC. Scrotal reconstruction for giant inguinal hernias. Surgical Clinics of North America 1980; 64:307-13.
[4] P.-H. Savoie, S. Abdalla, J. Bordes, J. Laroche, R. Fournier, F. Pons, S. Bonnet. Surgical repair of giant inguinoscrotal hernias in an austere environment: leaving the distal sac limits early complications. Hernia (2014) 18:113–118. DOI 10.1007/s10029-013-1049-z
[5] G. Sturniolo, A. Tonante, E. Gagliano, F. Taranto, M. G. Lo Schiavo and C. D'Alia. Surgical treatment of the giant inguinal hernia. Hernia (1999) 3: 27-30.
[6] Serpell JW, Polglase AL, Anstee EJ. Giant inguinal hernia. Aust N Z J Surg 1988; 58:831.
[7] E. Coetzee, C. Price, A. Boutall. Simple repair of a giant inguinoscrotal hernia. International Journal of Surgery Case Reports (2011) 2: 32–35.
[8] Tahir M, Ahmed FU, Seenu V. Giant inguinoscrotal hernia: Case report and management principles. International Journal of Surgery (2008) 6, 495-497
[9] J Bierca, A Kosim, M Kołodziejczak, J Zmora, E Kultys. Effectiveness of Lichtenstein repairs in planned treatment of giant inguinal hernia -own experience. Videosurgery Miniinv 2013; 8 (1): 36-42
[10] Lichtenstein IL, Shulman AG, Amid PK, Montlor MM. The tension-free hernioplasty. Am J Surg 1989; 157: 188-93.
[11] Kyle SM, Lovie M J, Dowle CS. Massive inguinal hernia. Br J Hosp Med 1990; 43: 383-4.
[12] Merret ND, Waterforth MW, Green MF. Repair of giant inguinoscrotal inguinal hernia using marlex mesh and scrotal skin flaps. Aust N J Z Surg 1994; 64:380-3.
[13] Gaines RD. Complications of groin hernia repair: their prevention and management. J Natl Med Assoc 1978; 70:195–198.
[14] Ones HW, Kahn RA (1970) Surgical treatment of elephantiasis of the male genitalia. Hast Reconstr Surg 46:8-12.
[15] Udwadia TE. Stomach strangulated in inguinal hernia presenting with hematemesis. Int Surg 1984; 69: 177-9.
[16] Weitzenfeld MB, Brown BT, Morillo G, Block NL. Scrotal kidney and ureter: an unusual hernia. J Urol 1980; 123: 437-8.
[17] Moss G. Techniques to aid in hernia repair complicated by the loss of domain. Surgery 1975; 78:408-10.
[18] King JN, Didlake RH, Gray RE. Giant inguinal hernia. South Med J 1986; 79:252-3.
[19] Handelsman JC. A technique for increasing abdominal capacity in the repair of massive ventral hernia. Surg Gynecol Obstet 1959; 108:751-2.
[20] Touroff AS. Phrenicectomy as aid to repair of large abdominal hernias. J Am Med Assoc 1954; 154:330-2.
[21] Moreno IG. The rational treatment of hernias and voluminous chronic eventrations: preparation with progressive pneumoperitoneum. In: Nyhus JB, editor. Hernia. Philadelphia: JB Lippincott, 1978:536-52.
[22] Connolly DP, Perri FR. Giant hernias managed by pneumoperitoneum. J Am Med Assoc 1969; 209:71-4.
[23] Cady B, Brooke-Cowden GL. Repair of massive abdominal wall defects: combined use of pneumoperitoneum and Marlex mesh. Surg Clin North Am 1976; 56: 559-70.
[24] Caldironi MW, Romano M, Bozza F, et al. Progressive pneumoperitoneum in the management of giant incisional hernias: a study of 41 patients. Br J Surg 1990; 77: 306-7.
Cite This Article
  • APA Style

    Ikhwan Sani Mohamad, Chen Yen Chuan, Narendran Balasubbiah, Zaidi Zakaria, Syed Hassan. (2017). Giant Inguinoscrotal Hernia: The Challenging Surgical Repair and Postoperative Management. Advances in Surgical Sciences, 5(5), 61-64. https://doi.org/10.11648/j.ass.20170505.11

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    ACS Style

    Ikhwan Sani Mohamad; Chen Yen Chuan; Narendran Balasubbiah; Zaidi Zakaria; Syed Hassan. Giant Inguinoscrotal Hernia: The Challenging Surgical Repair and Postoperative Management. Adv. Surg. Sci. 2017, 5(5), 61-64. doi: 10.11648/j.ass.20170505.11

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    AMA Style

    Ikhwan Sani Mohamad, Chen Yen Chuan, Narendran Balasubbiah, Zaidi Zakaria, Syed Hassan. Giant Inguinoscrotal Hernia: The Challenging Surgical Repair and Postoperative Management. Adv Surg Sci. 2017;5(5):61-64. doi: 10.11648/j.ass.20170505.11

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  • @article{10.11648/j.ass.20170505.11,
      author = {Ikhwan Sani Mohamad and Chen Yen Chuan and Narendran Balasubbiah and Zaidi Zakaria and Syed Hassan},
      title = {Giant Inguinoscrotal Hernia: The Challenging Surgical Repair and Postoperative Management},
      journal = {Advances in Surgical Sciences},
      volume = {5},
      number = {5},
      pages = {61-64},
      doi = {10.11648/j.ass.20170505.11},
      url = {https://doi.org/10.11648/j.ass.20170505.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ass.20170505.11},
      abstract = {Inguinal hernia operations are compulsory surgical skill assessment for residence in surgical field and most centres practice day care services for such cases. Giant inguinal hernias usually occur in neglected long standing diseases and repair of these condition added challenges in term of content reduction as well as managing postoperative complications. This case was a unique case of a giant inguinal hernia which was left untreated for 40 years. The contents of the hernia which include greater omentum, small and large bowel were reduced successfully after extension of the deep inguinal ring. The patient was ventilated and paralyzed for 48 hours in view of anticipating intraabdominal hypertension. Post operatively the patient recovered well and discharged on Day 6 post operatively.},
     year = {2017}
    }
    

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    T1  - Giant Inguinoscrotal Hernia: The Challenging Surgical Repair and Postoperative Management
    AU  - Ikhwan Sani Mohamad
    AU  - Chen Yen Chuan
    AU  - Narendran Balasubbiah
    AU  - Zaidi Zakaria
    AU  - Syed Hassan
    Y1  - 2017/10/23
    PY  - 2017
    N1  - https://doi.org/10.11648/j.ass.20170505.11
    DO  - 10.11648/j.ass.20170505.11
    T2  - Advances in Surgical Sciences
    JF  - Advances in Surgical Sciences
    JO  - Advances in Surgical Sciences
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    EP  - 64
    PB  - Science Publishing Group
    SN  - 2376-6182
    UR  - https://doi.org/10.11648/j.ass.20170505.11
    AB  - Inguinal hernia operations are compulsory surgical skill assessment for residence in surgical field and most centres practice day care services for such cases. Giant inguinal hernias usually occur in neglected long standing diseases and repair of these condition added challenges in term of content reduction as well as managing postoperative complications. This case was a unique case of a giant inguinal hernia which was left untreated for 40 years. The contents of the hernia which include greater omentum, small and large bowel were reduced successfully after extension of the deep inguinal ring. The patient was ventilated and paralyzed for 48 hours in view of anticipating intraabdominal hypertension. Post operatively the patient recovered well and discharged on Day 6 post operatively.
    VL  - 5
    IS  - 5
    ER  - 

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Author Information
  • Department of Surgery, School of Medical Sciences, Universiti Sains Malaysia, Kota Bharu, Malaysia

  • Department of Surgery, School of Medical Sciences, Universiti Sains Malaysia, Kota Bharu, Malaysia

  • Department of Surgery, Hospital Sultanah Bahiyah, Alor Setar, Kedah, Malaysia

  • Department of Surgery, School of Medical Sciences, Universiti Sains Malaysia, Kota Bharu, Malaysia

  • Department of Surgery, School of Medical Sciences, Universiti Sains Malaysia, Kota Bharu, Malaysia

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