Case report : multi-stage operation for giant inguinoscrotal hernia repair
Keywords:
giant inguinoscrotal hernia. Loss of domainAbstract
Giant inguinoscrotal hernia was a rare condition which challenge for treatment due to problem of “loss of domain”. The internal organs were herniated into the scrotal sac. No standard treatment for this condition. We report a patient who presented with left giant inguinoscrotal hernia for 10 years. He had underlying disease of COPD. The operative finding was found entire small bowel, transverse, descending, sigmoid colon in scrotal sac. After adhesiolysis, the internal organs were transfer back from scrotal sac to abdominal cavity and left on abdominal wall with temporary abdominal closure technique. The following operations were slightly stretching, lengthening abdominal wall until closed abdominal wall successfully. The cardiopulmonary system of patient was gradually adaptation for carrying internal organs into his abdomen. No organ resection was performed. No need for special technique or equipment, so this procedure can be used in any hospital. The result was good and no complication.
References
Davey WW. Davey's companion to surgery in Africa. 2nd ed. / edited by Adelola Adeloye ed. Edinburgh ; New York : Churchill Livingstone, 1987.1987.
Hamad A, Marimuthu K, Mothe B, Hanafy M. Repair of massive inguinal hernia with loss of abdominal domain using laparoscopic component separation technique. J Surg Case Rep. 2013 ; 2013(3).
El Saadi AS, Al Wadan AH, Hamerna S. Approach to a giant inguinoscrotal hernia. Hernia. 2005 ; 9(3) : 277-279.
Vasiliadis K, Knaebel HP, Djakovic N, Nyarangi-Dix J, Schmidt J, Buchler M. Challenging surgical management of a giant inguinoscrotal hernia: report of a case. Surg Today. 2010 ; 40(7) : 684-687.
Tahir M, Ahmed FU, Seenu V. Giant inguinoscrotal hernia: case report and management principles. Int J Surg. 2008 ; 6(6) : 495-497.
Patsas A, Tsiaousis P, Papaziogas B, Koutelidakis I, Goula C, Atmatzidis K. Repair of a giant inguinoscrotal hernia. Hernia. 2010 ; 14(3) : 305-307.
Moreno IG. Chronic eventrations and large hernias; preoperative treatment by progressive pneumoperitomeum; original procedure. Surgery. 1947 ; 22(6) : 945-53.
Piskin T, Aydin C, Barut B, Dirican A, Kayaalp C. Preoperative progressive pneumoperitoneum for giant inguinal hernias. Ann Saudi Med. 2010 ; 30(4) : 317-320.
Kyle SM, Lovie MJ, Dowle CS. Massive inguinal hernia. Br J Hosp Med. 1990 ; 43(5) : 383-384.
Mehendal FV, Taams KO, Kingsnorth AN. Repair of a giant inguinoscrotal hernia. Br J Plast Surg. 2000 ; 53(6) : 525-529.
Merrett ND, Waterworth MW, Green MF. Repair of giant inguinoscrotal inguinal hernia using marlex mesh and scrotal skin flaps. Aust N Z J Surg. 1994 ; 64(5) : 380-383.
Ramirez OM, Ruas E, Dellon AL. "Components separation" method for closure of abdominal-wall defects: an anatomic and clinical study. Plast Reconstr Surg. 1990 ; 86(3) : 519-526.
Hultman CS, Tong WM, Kittinger BJ, Cairns B, Overby DW, Rich PB. Management of recurrent hernia after components separation: 10-year experience with abdominal wall reconstruction at an academic medical center. Ann Plast Surg. 2011 ; 66(5) : 504-507.
Karthikeyan VS, Sistla SC, Ram D, Ali SM, Rajkumar N. Giant inguinoscrotal hernia--report of a rare case with literature review. Int Surg. 2014 ; 99(5) : 560-564.
Trakarnsagna A, Chinswangwatanakul V, Methasate A, Swangsri J, Phalanusitthepha C, Parakonthun T, et al. Giant inguinal hernia: Report of a case and reviews of surgical techniques. Int J Surg Case Rep. 2014 ; 5(11) : 868-872.
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