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

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

Corresponding Author : 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