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

• 作者: Chris Mann Guy Jonathan Finch Sofoklis Panteleimonitis Ugochukwu Ihedioha Zee Gechev
• 来源期刊: 临床医学病理报告(英文)
• 学科: 医学
• 关键词: LARGE Inguinoscrotal HERNIA PNEUMOPERITONEUM
• 年，卷（期）: 2012,（2）
• 页码范围: 6-8
• 页数: 3页
• 分类号: R73

摘要

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.