DOI: 10.36347/sasjs

Pages: 26-30

Inguinal hernia is one of the most common surgical diseases. Giant inguinal hernia is defined as an inguinalhernia that extends below the midpoint of inner thigh when the patient is in standing position. Giant inguinal hernia is more unusual and significantly challenging in terms of surgical management. The main challenging part is that of returning herniated viscera to an abdominal cavity which is accustomed to being empty, also known as loss of domain. In our case, we present a case of Type-III giantinguino-scrotal hernia which was repaired by hernioplasty after resection of herniated contents. There were several repair techniques such as resection of the content and increased intra-abdominal volume procedure. Many key factors for management of the giant inguinal hernia were discussed. A new classification of the giant inguinal hernia was described. Surgical repair for the giant inguinal hernia is challenging and correlated with significant morbidity and mortality due to increased intra-abdominal pressure.