Francesco Esposito*, Dorin Sacrieru, Marco Del Prete and Alexandre Cortes

Service de Chirurgie Digestive, Viscérale et Cancérologique, Grand Hopital de l’Est Francilien – Meaux, France

*Corresponding Author: Francesco Esposito, Service de Chirurgie Digestive, Viscérale et Cancérologique, Grand Hopital de l’Est Francilien – Meaux, France.

Received: January 20, 2023; Published: February 01, 2023

Abstract

A 69-year-old patient presented a giant right inguinal-scrotal mass for over ten years. The clinical examination and a CT-Scan confirmed the presence of a giant inguonoscrotal hernia containing the last ileal loops, caecum and the right colon. After a careful pre-operative cardio-respiratory evaluation, the surgery was proposed.

Through an inguinal-scrotal incision, the hernia sac and its contents were largely released and reintegrated into the abdomen. Reparation using a polypropylene mesh according to the Lichtenstein technique was finally performed. The postoperative course was uneventful. The patient was discharged after three days and one year later, no recurrence was found.

This case report shows that in patients with good cardio-respiratory function, Lichtenstein technique with mesh reinforcing remains the best treatment.

Keywords: Giant Inguinoscrotal Hernia; Giant Inguinal Hernia; Lichtenstein Technique

References

1. Hodgkinson DJ and Mcilrath DC. “Scrotal reconstruction for giant inguinal hernias”. Surgical Clinics of North America 64 (1984): 301-313.
2. Cavalli M., et al. “Giant inguinal hernia: the challenging hug technique”. Hernia 19 (2015): 775-783.
3. Moreno IG. “Chronic eventrations and large hernias; preoperative treatment by progressive pneumoperitoneum; original procedure”. Surgery 22 (1947): 945-953.
4. Staubitz JI., et al. “Surgical Treatment Strategies for Giant Inguinoscrotal Hernia - A Case Report With Review of the Literature”. BMC Surgery1 (2017): 135.
5. Savoie PH., et al. “Surgical repair of giant inguinoscrotal hernias in an austere environment: leaving the distal sac limits early complications”. Hernia 18 (2014): 113-118.

Citation

Citation: Francesco Esposito., et al. “Giant Right Inguinoscrotal Hernia: A Case Report”.Acta Scientific Medical Sciences 7.3 (2023): 02-04.

Copyright

Copyright: © 2022 Francesco Esposito., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.