Treatment of a giant inguinal hernia using transabdominal pre-peritoneal repair

• Published in: Journal of surgical case reports Vol. 2016; no. 9; p. rjw159
• Main Authors: Momiyama, Masato, Mizutani, Fumitoshi, Yamamoto, Tatsuyoshi, Aoyama, Yoshinori, Hasegawa, Hiroshi, Yamamoto, Hideo
• Format: Journal Article
• Language: English
• Published: England Oxford University Press 01.09.2016
• Subjects: Case Report
• ISSN: 2042-8812; 2042-8812
• DOI: 10.1093/jscr/rjw159

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.