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Case Report

A Case Report of Giant Inguinoscrotal Hernia Managed by Modified Iliopubic Tract Repair

Harshad Namdev Gawade, Senior Resident, Department of Surgery, Dr. D.Y.Patil Medical College, Hospital and Research Centre, Dr.D.Y.Patil Vidyapeeth, Pimpri, Pune, Maharashtra 411018, India , Varun Shetty1 , Digvijay Jadhav2 , Pratham Mody3 , Vashsiht Dixit4 , Harshad Gawade5 , Iqbal Ali6

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New Indian Journal of Surgery 9(5):p 687-690, Sep-Oct 2018. | DOI: DOI: https://dx.doi.org/10.21088/nijs.0976.4747.9518.30

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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 preperitoneal 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. 

Keywords: Giant Inguinal Hernia; Treatment; Ilio-Pubic Tract Repair

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DOI: DOI: https://dx.doi.org/10.21088/nijs.0976.4747.9518.30

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