title: [Pneumoperitoneum in surgical management of giant scrotal hernias].
abstract: Surgical treatment of giant abdominal hernias includes reduction of the hernia content and tension-free closure of the abdominal wall. Initial laparoscopy simulates the postoperative abdominal wall tension. Recognizing the need for a preoperative pneumoperitoneum in cases of chronic eventration may help to avoid "abdominal catastrophes" including bowel resection, abdominal compartment, and extended abdominal wall reconstruction. We report a 66-year-old man with an asymptomatic long-standing giant scrotal hernia who was admitted with sepsis and uremia caused by intestinal obstruction.
authors.affiliation: Allgemein-, Viszeral- und Gefässchirurgie mit Departement Kinderchirurgie, Klinikum Kempten. stefan.limmer@uk-sh.de
authors.forename: S
authors.initials: S
authors.lastname: Limmer
authors.forename: T
authors.initials: T
authors.lastname: Miksch
authors.forename: M
authors.initials: M
authors.lastname: Fiederer
authors.forename: P
authors.initials: P
authors.lastname: Sterk
mesh_terms: D000368:Aged; D005832:Genital Diseases, Male / Q000601:surgery*; D046449:Hernia, Abdominal / Q000601:surgery*; D006801:Humans; D007415:Intestinal Obstruction / Q000601:surgery*; D010535:Laparoscopy; D008297:Male; D009919:Orchiectomy; D011028:Pneumoperitoneum, Artificial; D011183:Postoperative Complications / Q000601:surgery; D012086:Reoperation; D012611:Scrotum / Q000601:surgery*; D018805:Sepsis / Q000601:surgery; D020728:Transurethral Resection of Prostate; D014511:Uremia / Q000601:surgery