A Case Report of Giant Inguinoscrotal Hernia Managed by Modified Iliopubic Tract Repair
Journal Title: New Indian Journal of Surgery - Year 2018, Vol 9, Issue 5
Abstract
Introduction: Inguinal hernia is one of the commonest cases to be dealt with in surgical practice. Giant inguinal hernia on the other hand is a rather distinct and rare entity. Not only they pose special problems in management, but also they reflect the ignorance and neglect among general population in developing countries. Presentation of Case: A 50 year old male patient presented with a left sided inguinal hernia extending upto just above the knee joint without any complications. The hernia was explored using a combination of pre-peritoneal approach with intra-peritoneal manipulation. Omentectomy , left orchidectomy and caecopexy was also performed. Defect was closed by performing Ilio-pubic tract repair using a polypropylene mesh. Discussion: Treatment of giant inguinal hernias requires adequate consideration regarding the approach to be chosen as well as thorough preoperative preparation as post-operatively patient may develop abdominal compartment syndrome which may lead to a series of unwanted complications. Conclusion: The appropriate management of such hernias require detailed knowledge of anatomy of inguinal region along with good pre and postoperative care in order to achieve the desidered outcome.
Authors and Affiliations
Varun Shetty
Keywords
Related Articles
- EP ID EP548615
- DOI 10.21088/nijs.0976.4747.9518.30
- Views 61
- Downloads 0
Postoperative Pain Comparison between Sutures and Cyanoacrylate Glue for Mesh Fixation in Inguinal Hernia Repair
Inguinal hernia repair is the most frequently performed operation in any general surgical unit [3]. Hernioplasty is most commonly performed surgery for hernia. Mesh fixation is a major step in hernioplasty regularly mesh...
Lysol Induced chemical Burns: An Underreported Rare Problem
Lysol is a commercially available product commonly used for cleaning and disinfectant purposes. Although in lower concentrations they may not causing ill effects on human being. In higher concentrations or in undiluted f...
Foot Care Practices in Patients with Diabetic Foot Ulcers: A Study in MVJMC & RH
Introduction: Diabetic foot ulcers are the most common cause for prolonged hospitalizations. Though preventable by effective identification, education and preventive foot care practice, we come across plenty cases of dia...
Novel Treatment of Burn Scars using Autologous Fat, Preliminary Results
Burns scars leave a significant impact on patients affecting their physical, social & psychological wellbeing. They are usually complicated by hypertrophy, keloid, contractures & may be associated with pain or itching....
Lichtenstein Inguinal Hernia Tension Free Mesh Repair Under Total Intravenous Versus Regional Anaesthesia
Introduction: Surgery for Inguinal hernia can be performed under a variety of anaesthesia techniques such as general anaesthesia, spinal anaesthesia and epidural anaesthesia. Patient safety and the provision of optimal o...