Bilateral giant inguinoscrotal hernia: A case report
Sunil Basukala1, Sabina Rijal1, Bishnu Deep Pathak1
1Department of Surgery, Nepalese Army Institute of Health Science (NAIHS), Kathmandu, Nepal.
International Journal of Surgery Case Reports
|October 21, 2021
Summary
Bilateral giant inguinoscrotal hernia (GIH) management can be challenging. Type I GIH is safely treated with simple hernioplasty, while types II and III require additional measures to prevent abdominal compartment syndrome (ACS).
Area of Science:
- Surgical Management
- Hernia Repair
- Abdominal Surgery
Background:
- Bilateral giant inguinoscrotal hernia (GIH) presents significant surgical challenges.
- Abdominal compartment syndrome (ACS) is a primary concern following hernia reduction.
- Various strategies exist for preventing ACS post-surgery.
Purpose of the Study:
- To report a case of bilateral giant inguinoscrotal hernia managed with mesh repair.
- To discuss the classification and management of different types of GIH.
- To highlight the safety of simple hernioplasty for Type I GIH.
Main Methods:
- A case of a 68-year-old male with a 20-year history of bilateral GIH is presented.
- The patient underwent bilateral mesh repair without adjunct measures.
- Postoperative outcomes were monitored for complications.
Main Results:
- The patient presented with micturition and mobility difficulties.
- No significant complications occurred during the postoperative period.
- Type I GIH can be managed with simple hernioplasty.
Conclusions:
- Type I GIH is safely treated with simple hernioplasty, requiring postoperative monitoring for ACS and respiratory issues.
- Type II and III GIH necessitate additional interventions, such as hernia content resection or abdominal space enlargement.
- Surgical approach should be tailored to the type and extent of GIH.
