Giant inguinoscrotal hernia with loss of right of domicile

Preoperative preparation with progressive pneumoperitoneum

  • Cesar Canessa Hospital Español “Dr. Juan José Crottogini” Montevideo. Uruguay
  • Fernando Bonilla Hospital Español “Dr. Juan José Crottogini” Montevideo. Uruguay
  • Vanessa Zubiaurre Hospital Español “Dr. Juan José Crottogini” Montevideo. Uruguay
  • Sofía Martínez Hospital Español “Dr. Juan José Crottogini” Montevideo. Uruguay
  • Luis Alberto Martínez Cruz Hospital Español “Dr. Juan José Crottogini” Montevideo. Uruguay
Keywords: giant inguinoscrotal hernia, progressive pneumoperitoneum, hernioplasty

Abstract

Patients with giant inguinoscrotal hernias are rare, and this condition, which affects the patient’s quality of life, poses a challenge for the surgical team. This paper presents a clinical case and its resolution, initially with the implementation of a progressive pneumoperitoneum and subsequently a two-stage surgical procedure: first, repair of the parietal defect with Lichtenstein hernioplasty, and second, scrotoplasty with orchiectomy and neoscrotal reconstruction.

Downloads

Download data is not yet available.

References

Fitzgibbons RJ, Forse RA. Groin Hernias in Adults. N Engl J Med. 2015;372:756 63. At: https://doi.org/10.1056/nejmcp1404068.

Trakarnsagna A, Chinswangwatanakul V, Methasate A, Swangsri J, Phalanusitthepha C, Parakonthun T, et al. Giant inguinal hernia: Report of a case and reviews of surgical techniques. Int J Surg Case Rep. 2014;5:868 72. At: https://doi.org/10.1016/j. Ijscr.2014.10.042.

Tanaka, E.Y., Yoo, J.H., Rodrigues, A.J. et al. A computerized tomography scan method for calculating the hernia sac and abdominal cavity volume in complex large incisional hernia with loss of domain. Hernia. 2010;14:63–69. https://doi.org/10.1007/s10029-009-0560-8.

Pous-Serrano S, Bueno-Lledó J, García-Pastor P, Carreño-Sáenz O, Pareja-Ibars V, Bonafé-Diana S, et al. Use of botulinum toxin type A in the prehabilitation of abdominal wall musculature for hernia repair: a consensus proposal. Cirugía Española. 2024;102(7):391-399. (English Edition)

Alam NN, Narang SK, Pathak S, et al. Methods of abdominal wall expansion for repair of incisional herniae: a systematic review. Hernia. 2016;20:191–199. https://doi.org/10.1007/s10029-016-1463-0.

Oprea V. Progressive Preoperative Pneumoperitoneum (PPP) as an adjunct for surgery of hernias with loss of domain. Chirurgia (Romania) 2014;109(5):664 – 669 Article2014EID: 2-s2.0-84908611578. ISSN:12219118.

Goñi-Moreno I. Chronic eventrations and large hernias; preoperative treatment by progressive pneumoperitoneum- original procedure. Surgery. 1947;22:945-53.

Lichtenstein IL, Shulman AG, Amid PK, Montlor MM. The ten sion-free hernioplasty. Am J Surg. 1989;157:188-93.

Published
2026-06-09
How to Cite
Canessa, C., Bonilla, F., Zubiaurre, V., Martínez, S., & Martínez Cruz, L. A. (2026). Giant inguinoscrotal hernia with loss of right of domicile: Preoperative preparation with progressive pneumoperitoneum. Anales De La Facultad De Medicina, 13(2), e401. https://doi.org/10.25184/anfamed2026v13n2a2