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


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.

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Panteleimonitis, S. , Ihedioha, U. , Mann, C. , Gechev, Z. and Finch, G. (2012) Progressive pre-operative pneumoperitoneum is not necessary for large inguinoscrotal hernia repair: Report of a case. Case Reports in Clinical Medicine, 1, 6-8. doi: 10.4236/crcm.2012.12003.

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The authors declare no conflicts of interest.


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