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Case Report 


Case report: Preoperative progressive pneumoperitoneum in giant inguinoscrotal hernia

Josefa Elizabeth Aguirre, Hanna Ruiz-Niño, María Marcela Medina, José Antonio Caballero, Jorge Jesús Pereira.

Abstract
Giant inguinoscrotal hernias are rare surgical entities, generally seen in developing countries, and pose a challenge to surgeons trying to repair this hernial defect. Therefore, to facilitate the surgical procedure, a progressive pneumoperitoneum technique before surgery has been proposed. Here we describe the case of a 43-year-old male patient who presented to the outpatient surgery office with a giant inguinoscrotal hernia, which had been growing for 11 years and was not associated with any discomfort other than a difficulty in walking. During hospitalization, preoperative progressive pneumoperitoneum generation technique was performed, and intra-abdominal pressure levels were monitored for seven days. Surgical right inguinal hernia repair was performed using the Stoppa technique, exposing a large defect on the posterior wall of the right inguinal canal where the greater omentum bulged out. There was also evidence of small intestine loops and right colon lodged in the scrotum. The hernia sac was reduced and cut with relative ease; the defect was repaired using a mesh
implant covering the full area of the Fruchaud’s myopectineal orifice defect in the preperitoneal space, closing the cavity layer by layer until reaching the skin. The patient had a postoperative period with no complications and was discharged on the fifth day.

Key words: Giant inguinoscrotal hernia, preoperative progressive pneumoperitoneum, hernioplasty, case reports


 
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Pubmed Style

Josefa Elizabeth Aguirre, Hanna Ruiz-Niño, María Marcela Medina, José Antonio Caballero, Jorge Jesús Pereira. Case report: Preoperative progressive pneumoperitoneum in giant inguinoscrotal hernia. Arch Clin Exp Surg. 2018; 7(2): 84-88. doi:10.5455/aces.20170919114215


Web Style

Josefa Elizabeth Aguirre, Hanna Ruiz-Niño, María Marcela Medina, José Antonio Caballero, Jorge Jesús Pereira. Case report: Preoperative progressive pneumoperitoneum in giant inguinoscrotal hernia. http://www.ejmaces.com/?mno=277905 [Access: November 13, 2018]. doi:10.5455/aces.20170919114215


AMA (American Medical Association) Style

Josefa Elizabeth Aguirre, Hanna Ruiz-Niño, María Marcela Medina, José Antonio Caballero, Jorge Jesús Pereira. Case report: Preoperative progressive pneumoperitoneum in giant inguinoscrotal hernia. Arch Clin Exp Surg. 2018; 7(2): 84-88. doi:10.5455/aces.20170919114215



Vancouver/ICMJE Style

Josefa Elizabeth Aguirre, Hanna Ruiz-Niño, María Marcela Medina, José Antonio Caballero, Jorge Jesús Pereira. Case report: Preoperative progressive pneumoperitoneum in giant inguinoscrotal hernia. Arch Clin Exp Surg. (2018), [cited November 13, 2018]; 7(2): 84-88. doi:10.5455/aces.20170919114215



Harvard Style

Josefa Elizabeth Aguirre, Hanna Ruiz-Niño, María Marcela Medina, José Antonio Caballero, Jorge Jesús Pereira (2018) Case report: Preoperative progressive pneumoperitoneum in giant inguinoscrotal hernia. Arch Clin Exp Surg, 7 (2), 84-88. doi:10.5455/aces.20170919114215



Turabian Style

Josefa Elizabeth Aguirre, Hanna Ruiz-Niño, María Marcela Medina, José Antonio Caballero, Jorge Jesús Pereira. 2018. Case report: Preoperative progressive pneumoperitoneum in giant inguinoscrotal hernia. Archives of Clinical and Experimental Surgery (ACES), 7 (2), 84-88. doi:10.5455/aces.20170919114215



Chicago Style

Josefa Elizabeth Aguirre, Hanna Ruiz-Niño, María Marcela Medina, José Antonio Caballero, Jorge Jesús Pereira. "Case report: Preoperative progressive pneumoperitoneum in giant inguinoscrotal hernia." Archives of Clinical and Experimental Surgery (ACES) 7 (2018), 84-88. doi:10.5455/aces.20170919114215



MLA (The Modern Language Association) Style

Josefa Elizabeth Aguirre, Hanna Ruiz-Niño, María Marcela Medina, José Antonio Caballero, Jorge Jesús Pereira. "Case report: Preoperative progressive pneumoperitoneum in giant inguinoscrotal hernia." Archives of Clinical and Experimental Surgery (ACES) 7.2 (2018), 84-88. Print. doi:10.5455/aces.20170919114215



APA (American Psychological Association) Style

Josefa Elizabeth Aguirre, Hanna Ruiz-Niño, María Marcela Medina, José Antonio Caballero, Jorge Jesús Pereira (2018) Case report: Preoperative progressive pneumoperitoneum in giant inguinoscrotal hernia. Archives of Clinical and Experimental Surgery (ACES), 7 (2), 84-88. doi:10.5455/aces.20170919114215





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