Scrotal Abdomen: A Case Study of Huge Inguinoscrotal Hernia

Abstract

Giant inguinoscrotal hernias are defined as those extending below the midpoint of the inner thigh in the standing position. In a developing country like India, due to lack of adequate awareness patients neglects medical attention, which leads to development of giant inguinoscrotal hernia. Here we discussed about three cases managed in our hospital.

Case1:

A 53 yrs old male who was a known diabetic and hypertensive presents with left giant inguinoscrotal hernia for past 7 years. All basic routine investigations were normal. Pre optimisation was done. Under GA, left open hernioplasty with left orchidectomy was done. Contents- transverse colon. Postoperatively patient went to respiratory compromise which was well controlled by o2, nebulization, chest physiotherapy and incentive spirometry. Patient recovered well.

Case2:

A 65-year old male who was a known Bronchial asthma presents with right giant inguinoscrotal hernia for past 10 yrs. All basic rountine investigations were normal. Pre-optimisation was done. Under Epidural anaesthesia, right open hernioplasty with right orchidectomy was done. Contents- ileum, ileocaecal junction, appendix and caecum. Postoperatively patient went to respiratory compromise which was well controlled by o2, nebulization, chest physiotherapy and incentive spirometry. Patient recovered well.

Case3:

A 35 year old male presents with B/L giant inguinoscrotal hernia for past 10 yrs. All basic routine investigations were normal. Pre-optimisation was done. Under Epidural anesthesia, B/L open hernioplasty was done. B/L direct sac presents. Postoperative period unremarkable.

Giant inguinoscrotal hernias are rare, and managing them effectively involves several key strategies. Preoperative evaluation is essential to anticipate potential cardiorespiratory compromise. Additionally, attentive care after surgery helps to reduce risks of Pulmonary compromises. These measures contribute to better overall patient outcomes.