title: A giant inguinoscrotal hernia associated with other abdominal wall defects A case report.
abstract: BACKGROUND
  Giant inguinoscrotal hernias are unusual in developed countries and rarely associated with other wall hernias, such as controlateral inguinal hernia, umbilical hernia. The presence of more parietal defects can facilitate reinstatement of giant hernia content without respiratory and circulatory compromise, but the risk of occlusion and bowel strangulation results increased.
  
  
  METHODS
  Here, we report an unusual case of an asymptomatic giant inguinal hernia associated with controlateral inguinal and umbilical hernia in a 60 years old Caucasian male treated with sequential surgical approach. In particular, the Lichtenstein's technique under spinal anesthesia was performed and it could be considered the gold standard for this disease.
  
  
  CONCLUSIONS
  Giant inguinal hernia and abdomen wall defects should not be repaired at the same time. It is more useful to be less aggressive, monitoring the progressive and natural adaptation of the viscera into the abdomen. Anyway, thereby literature results very poor and additional reports are required.
  
  
  BACKGROUND
  Giant inguinoscrotal hernia, Hernia, Hernia treatment, Wall defects.
authors.forename: Francesco
authors.initials: F
authors.lastname: Iovino
authors.forename: Pasquale Pio
authors.initials: PP
authors.lastname: Auriemma
authors.forename: Luca
authors.initials: L
authors.lastname: Dani
authors.forename: Giovanni
authors.initials: G
authors.lastname: Giordano
authors.forename: Alfonso
authors.initials: A
authors.lastname: Barbarisi
mesh_terms: D034861:Abdominal Wall / Q000601:surgery; D006552:Hernia, Inguinal / Q000150:complications / Q000473:pathology* / Q000601:surgery*; D006554:Hernia, Umbilical / Q000150:complications / Q000473:pathology* / Q000601:surgery*; D059685:Herniorrhaphy; D006801:Humans; D008297:Male; D008875:Middle Aged; D012086:Reoperation; D016896:Treatment Outcome