Treatment of a half century year old giant inguinoscrotal hernia. A case report

Sahsamanis, Georgios; Samaras, Stavros; Basios, Anestis; Katis, Konstantinos; Dimitrakopoulos, Georgios

doi:10.1016/j.ijscr.2016.05.039

Cited by 10 publications

(2 citation statements)

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“…Another case report also reported double mesh repair's effectiveness for a 77-year-old patient with a huge inguinoscrotal hernia for > 50 years. Patient recovery was uneventful, and he was discharged on the tenth postoperative day [38] .…”

Section: Discussionmentioning

confidence: 99%

Comparison between Single Mesh and Double Mesh Placement in Huge Inguinal Hernia

Behiery¹,

Sayouh

Salem

2021

International Journal of Medical Arts

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Background: Recurrence after surgical treatment of inguinal hernia is still a challenge facing surgeons during their daily practice. Aim of the Work:The current trial aims to compare single and double mesh placement in huge inguinal hernia repair.Patients and Methods: 40 cases were involved in the study. They were classified into two equal groups according to the operative technique [A for single mesh and B for double mesh]. The study's candidates were examined and investigated thoroughly regarding their complaint, the presence of a clinically detectable hernia in the inguinal region, its size, characters, onset, duration, and associated symptoms. Then, all were examined clinically and prepared for surgical intervention after lab investigations. Results:The mean ages were 56 and 56.9 years for groups A and B. Both groups were comparable to body mass index, risk factors, type of hernia, hernia side, and intraoperative blood loss. There was a significant decrease in operative time in group A when compared to group B [54.50 ± 8.256 vs. 61.25 ± 6.664 minutes, respectively]. The overall rate of complications was lower in group B when compared to group A [30.0% vs. 50.0%, respectively]. Complications in group A were seroma [10.0%], wound infection [5.0%], scrotal edema [25.0%], and chronic pain [10.0%]; while in group B, seroma [10.0%], scrotal edema [5.0%], chronic pain [15.0%]. Recurrence was confined to group A, and reported to three patients [15.0%]. However, the difference was statistically nonsignificant. Conclusion: Double mesh technique is a safe and efficacious approach for managing huge inguinal hernia. It is associated with lower rate of recurrence than the single mesh approach with comparable operative time, complications, and outcomes.

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Section: Discussionmentioning

confidence: 99%

Comparison between Single Mesh and Double Mesh Placement in Huge Inguinal Hernia

Behiery¹,

Sayouh

Salem

2021

International Journal of Medical Arts

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“…Ukuran hernia yang besar ini menyebabkan pasien sulit duduk, berjalan, dan berbaring. Komplikasi dari munculnya hernia ini adalah retensi urin, kebocoran urin, infeksi, maserasi kulit, inkarserasi, dan isolasi sosial (Sahsamanis et al, 2016).…”

Section: Pembahasanunclassified

Hernia Inguinalis Permagna : Laporan Kasus

Yusmaidi¹,

Sari

Ilma

et al. 2021

JKT

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Hernia inguinalis permagna merupakan salah satu bentuk hernia yang jarang, umumnya didefinisikan sebagai hernia inguinalis yang ukurannya meluas hingga melebihi titik tengah paha bagian dalam saat posisi berdiri. Penatalaksanaannya menggunakan metode operasi dengan berbagai teknik. Hernia jenis ini tergolong sulit karena butuh pengembalian isi kantong hernia ke dalam rongga abdomen yang biasanya kosong sehingga dapat menyebabkan hipertensi intra abdominal dan kompartemen sindrom abdominal. Ilustrasi Kasus terdapat 2 pasien yaitu : Seorang laki-laki usia 53 tahun datang dengan keluhan munculnya benjolan besar pada lipat paha kiri. Keluhan lain tidak ada. Penatalaksaan pada pasien ini berupa laparotomi, dilanjutkan penguatan canalis inguinalis dengan teknik Bassini dilanjutkan prosedur McVay dan pada kasus kedua yaitu seorang pasien laki-laki usia 53 tahun datang dengan keluhan munculnya benjolan pada lipat paha kiri sejak 19 tahun yang lalu. Seluruh isi katung hernia dikembalikan kedalam rongga abdomen secara manual. Kemudian dilanjutkan dengan teknik Bassiniplasti untuk rekonstruksi, McVay prosedur untuk menguatkan cincin inguinal. Diskusi: Terdapat klasifikasi tentang hernia inguinalis permagna. Teknik operasi yang dapat dilakukan untuk menangani hernia inguinalis permagna juga beragam. Kesimpulan: Hernia inguinalis permagna merupakan kasus jarang, memerlukan penatalaksanaan yang tepat agar mortalitas dan morbiditas tidak meningkat.

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