Treatment of a giant inguinal hernia using transabdominal pre-peritoneal repair.
We present the case of a male Japanese patient with a giant inguinal hernia that extended to his knees while standing. A transabdominal pre-peritoneal (TAPP) repair was performed under general anesthesia. Complete reduction of the contents of the hernia was achieved within 2 h 50 min. A blood loss of approximately 700 ml was noted. The patient was discharged from the hospital on post-operative Day 12, with no recurrence of the hernia 6 months post-surgery. Factors contributing to the successful outcomes included preparation of several reduction methods before surgery, use of a large size mesh and implementation of pre-operative measures to prevent abdominal compartment syndrome. Further studies are required to evaluate the feasibility of laparoscopic repair in the management of giant inguinal hernia.
Department of Surgery, Tohkai Hospital, Nagoya 464-8512, Japan m-momi@ka2.so-net.ne.jp.
Masato
M
Momiyama
Department of Surgery, Tohkai Hospital, Nagoya 464-8512, Japan.
Fumitoshi
F
Mizutani
Department of Surgery, Tohkai Hospital, Nagoya 464-8512, Japan.
Tatsuyoshi
T
Yamamoto
Department of Surgery, Tohkai Hospital, Nagoya 464-8512, Japan.
Yoshinori
Y
Aoyama
Department of Surgery, Tohkai Hospital, Nagoya 464-8512, Japan.
Hiroshi
H
Hasegawa
Department of Surgery, Tohkai Hospital, Nagoya 464-8512, Japan.
Hideo
H
Yamamoto
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