Management of giant inguinal hernia; report of four cases and review of literature
Abstract
Introduction: Giant inguinal hernias are rare and their management is associated with peculiar challenges. Most publications are case reports and case series with few patients. This study aims to describe our experience in the management of four giant inguinal hernias and to review the literature with emphasis on the global distribution, presentation and approach to management. Researches on rare presentations are commonly challenging because of paucity of data.
Case presentation: We present four (4) cases of Giant inguinal hernia with ages between 39 years and 62 years with duration of groin swelling between 3 years and 32 years. Two had Type 1 Giant hernia while the others had Types 2 and 3. One was diabetic and hypertensive and another hypertensive. They both required multi-disciplinary management. All 3years and 32 yewere operated with oblique groin incisions. Polypropylene MESH was applied after simple closure of resultant wide defects in the posterior wall of the inguinal canal. Epidural anesthesia was used for three patients. The patient with Type 3 Giant hernia was done with General anesthesia. He required a debulking omentectomy and also needed respiratory support post-operatively. A literature review of patients in 10 years period with emphasis on the global distribution of publications, the presentation and the different approaches to management of patients was done.
Conclusion: Giant inguinal hernias though rare are encountered in all continents. Most are due to…
How strong is the evidence?
Evidence Hub reads this as a case report, done in people. Its evidence level is 5 of 5 (Very low · case / narrative / animal / in vitro / in silico). Case reports, narrative reviews, and animal, cell or computer-model studies give the weakest evidence for human health.
Read the paper
Related studies
- Meta-analysis and the science of research synthesis
- Rapid and sustained symptom reduction following psilocybin treatment for anxiety and depression in patients with life-threatening cancer: a randomized controlled trial
- Cluster Randomized Controlled Trial
- Convalescent plasma in patients admitted to hospital with COVID-19 (RECOVERY): a randomised controlled, open-label, platform trial
- Disease Free Survival and Local Recurrence for Laparoscopic Resection Compared to Open Resection of Stage II-III Rectal Cancer: Follow up Results of the ACOSOG Z6051 Randomized Controlled Trial
- The effects of a course of intranasal oxytocin on social behaviors in youth diagnosed with autism spectrum disorders: a randomized controlled trial
Go deeper in Evidence Hub
Evidence Hub adds a study data sheet (design, sample size, evidence level, key numbers), an AI summary and a chat grounded in the paper's text.