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Kovachev, L.S., Paul, A.P., Chowdhary, P., Choudhary, P. and Filipov, E.T. (2010) Regarding extremely large inguinal hernias with a contribution of two cases. Hernia, 14, 193-197. doi:10.1007/s10029-009-0517-y

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• 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.