Approach to a giant inguinoscrotal hernia

We present an extremely huge and longstanding, giant inguinoscrotal hernia extending to below the knee with an ulcer at its base. Though hernias of this magnitude are rare, their management can be demanding and challenging. Nevertheless, in an emergency situation, the repair of the hernial defect is...

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Bibliographic Details
Published in:	Hernia : the journal of hernias and abdominal wall surgery Vol. 9; no. 3; pp. 277 - 279
Main Authors:	El Saadi, A S, Al Wadan, A H, Hamerna, S
Format:	Journal Article
Language:	English
Published:	France Springer Nature B.V 01-10-2005
Subjects:	Hernia, Inguinal - complications Hernia, Inguinal - pathology Hernia, Inguinal - surgery Humans Intestine, Small - surgery Male Middle Aged Omentum - surgery Scrotum - pathology Scrotum - surgery Ulcer - complications Ulcer - surgery
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Summary:	We present an extremely huge and longstanding, giant inguinoscrotal hernia extending to below the knee with an ulcer at its base. Though hernias of this magnitude are rare, their management can be demanding and challenging. Nevertheless, in an emergency situation, the repair of the hernial defect is not essential, especially in a compromised patient. In fact, the most important step is excision of the devitalised tissue, and the final surgery can be delayed. In nonemergency management, definitive surgery can be planned either by a period of preoperative staged pneumoperitoneum, repairing after a resection of bowel and omentum, or replacing the content and ventilation of the patient to avoid the pressure on the cardiorespiratory system by forcing the tissue. This case highlights the problems encountered in management of huge hernias.
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3
ISSN:	1265-4906 1248-9204
DOI:	10.1007/s10029-004-0291-9