Giant Inguinoscrotal Herni A Case Report - 755 Words

Giant InguinoScrotal Hernia: A case report Abstract: Giant Inguino scrotal hernia, though an uncommon entity presents with operative dilemma as there are no standard surgical procedure. Here we present a case of giant inguinoscrotal hernia which was partly reducible. Patient underwent mesh repair after reduction of content through inguinal and lower midline laprotomy with scotal reconstruction. Key words: Giant inguino-scrotal hernia, mesh repair. Introduction: Giant inginoscrotal hernia are defined as, extending beyond the midpoint of thigh in standing position. Such cases are due to neglect of symptoms by the patient till it affects the quality of life or present with complications. Operative intervention in such cases is assosciated with high motality and post operative complications. We present a case of giant inguinoscrotal hernia, partially reducible with no co morbidities. Case Report: A 49yrs Auto rickshaw driver presented to us with the complains of swelling in right groin since 20yrs which was initially reducible and since last 5yrs its not reducible. Patient had difficulty in walking and performing his daily activities. Patient is a smoker since 30yrs. On examination: Right sided Ingunioscrotal swelling extending upto lower 1/3 of thigh in standing position, non reducible, cough impulse present, right side testis was atropic with elongated spermatic cord. Preoperatively patient was advised to quit smoking and incentive spirometry exercises for 2weeks.