Progressive pre-operative pneumoperitoneum is not necessary for large inguinoscrotal hernia repair: Report of a case

Sofoklis Panteleimonitis, Ugochukwu Ihedioha, Chris Mann, Zee Gechev, Guy Jonathan Finch

Department of Surgery, Northampton General Hospital, Northampton, UK.

DOI: 10.4236/crcm.2012.12003                

Abstract

Huge inguinoscrotal hernias are a challenging operation. The technical aspects of the procedure can be very difficult and the recovery may be complicated by ventilatory problems. Progressive preoperative pneumoperitoneum (PPP) is a method which has been used for many years to reduce both intra and postoperative complications. However, it is associated with a prolonged preoperative hospital stay which is expensive and often stressful to patients. We report a case of a morbidly obese patient with a huge inguinoscrotal hernia. PPP was not implemented. The operation was uneventful and he was discharged 8 days later with no major post-operative complications. This case therefore questions the necessity of PPP for huge inguin- oscrotal hernias.

Keywords

Large Inguinoscrotal Hernia; Pneumoperitoneum

Conflicts of Interest

The authors declare no conflicts of interest.

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