Giant inguinal hernia, a case series
Abstract
Introduction and importance Inguinal hernia surgery is common worldwide. A giant inguinal hernia occurs when the hernia extends below the midpoint of the thigh, making reduction into the abdominal cavity challenging and posing significant operative and postoperative risks. Case presentation We report a case series of five male patients, aged 51–75 years, with giant inguinal hernias treated between January 2024 and January 2025. Four patients presented electively and one emergently with strangulation. All hernias extended below the midpoint of the thigh. Open surgical repair was performed in all cases, with reduction via an abdominal incision above the inguinal crease. The hernia contents included small and large bowel loops with omentum. In one case, the inferior epigastric artery was ligated to facilitate reduction. Clinical discussion We report a case series of five male patients, aged 51–75 years, with giant inguinal hernias treated between January 2024 and January 2025. Four patients presented electively and one emergently with strangulation. All hernias extended below the midpoint of the thigh. Open surgical repair was performed in all cases, with reduction via an abdominal incision above the inguinal crease. The hernia contents included small and large bowel loops with omentum. In one case, the inferior epigastric artery was ligated to facilitate reduction. Conclusion Giant inguinal hernias require individualized surgical planning. Careful reduction, sac excision, and…
How strong is the evidence?
Evidence Hub reads this as a case series, 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
- Improving sleep quality leads to better mental health: A meta-analysis of randomised controlled trials
- Tocilizumab in patients with severe COVID-19: a retrospective cohort study
- A new aging measure captures morbidity and mortality risk across diverse subpopulations from NHANES IV: A cohort study
- Fruit, vegetable, and legume intake, and cardiovascular disease and deaths in 18 countries (PURE): a prospective cohort study
- Are noise and air pollution related to the incidence of dementia? A cohort study in London, England
- Long COVID symptoms and duration in SARS-CoV-2 positive children — a nationwide cohort study
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.