Giant Inguinoscrotal Hernia Repaired by Lichtensteins Technique Without Loss of Domain -A Case Report
| Autor: | Shreyas N, Jagadish Kumar Cd, Dinesh Hn |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
medicine.medical_specialty
formidable surgical problem tension free repair Clinical Biochemistry Partial Omentectomy lcsh:Medicine Surgery Section Thigh Abdominal wall Pneumoperitoneum giant medicine Hernia business.industry lcsh:R Transverse colon General Medicine medicine.disease Debulking polypropylene mesh Surgery abdominal compartment syndrome Inguinal hernia medicine.anatomical_structure business liechtenstein |
| Zdroj: | Journal of Clinical and Diagnostic Research, Vol 8, Iss 9, Pp ND07-ND08 (2014) |
| Popis: | Giant inguinal hernia is a formidable surgical problem. It is defined as inguinal hernia extending up to mid thigh or below in standing position. Giant inguinal hernia is usually associated with compromised quality of life due to sexual discomfort and constant weight bearing. It is a challenge for the operating surgeon since it is rare. It may require multistage repair with recurrence being common. A 45-year-old male patient presented with Giant inguinal hernia and compromised quality of life due to pain and sexual discomfort. Lichtenstein’s polypropylene mesh repair was done after reducing the sac contents (omentum and transverse colon) with partial omentectomy. There was no loss of intra-abdominal domain. Postoperative period was uneventful. In literature many techniques are available to increase the intra-abdominal cavity (a) Creating progressive preoperative pneumoperitoneum (b) Creation of ventral wall defect (c) surgical debulking of hernia contents. Recurrence is prevented by reconstruction of the abdominal wall using Marlex mesh and a Tensor fasciae lata flap. Laparoscopic repair is associated with more recurrence. Lichtenstein’s technique is one of the preferred treatments. |
| Databáze: | OpenAIRE |
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