Giant Inguinoscrotal Hernia: Single-Stage Repair Using Posterior Component Separation Technique and Transversus Abdominis Release

Abstract

Giant inguinal hernia is one of the most unusual and significantly challenging in terms of surgical management. It is defined as an inguinal hernia that extends below the midpoint of inner thigh when the patient is in standing position. The physiological changes associated with the loss of domain can pose a risk for increased complications during surgery and the post-operative period. There is no standard surgical procedure for the treatment of this unusual and challenging type of groin hernia. Various surgical techniques have been reported in previous publications. We present a case of a giant right inguinoscrotal hernia; after CT examination, spirometry, blood gas analysis, echocardiography and anesthetic evaluation was treated with a single-stage repair using posterior component separation technique and transversus abdominis release. Keywords: Component separation; Giant Inguinal hernia; Inguinoscrotal hernia; Transversus Abdominis Release