TITLE:
Progressive pre-operative pneumoperitoneum is not necessary for large inguinoscrotal hernia repair: Report of a case
AUTHORS:
Sofoklis Panteleimonitis, Ugochukwu Ihedioha, Chris Mann, Zee Gechev, Guy Jonathan Finch
KEYWORDS:
Large Inguinoscrotal Hernia; Pneumoperitoneum
JOURNAL NAME:
Case Reports in Clinical Medicine,
Vol.1 No.2,
December
18,
2012
ABSTRACT: 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.