Abstract
A 75-year-old man had not received treatment for an enlarging right inguinal hernia. Visiting our hospital, he presented with a right groin swelling to the size of an infant's head, and groin reached under the middle point of the thigh. Computed tomography revealed that the hernia contained omentum and the ileocecal portion of the intestine, and the diameter of hernia orifice was 56 mm. During the intraoperative period, using the inguinal method we reduced the content of hernia and returned it to the abdominal cavity, and performed reefing of the hernia orifice, in addition to reinforcing the rear wall of the inguinal canal by the Lichtenstein repair. Additionally, using single-incision total extraperitoneal repair (TEP) we reinforced the myopectineal orifice (MPO) by attaching a mesh. With the addition of the single-incision laparoscopic approach, which can minimize any additional skin incisions and facilitate the laparoscopic approach by ceding the exfoliation of the hernia sac to the inguinal method, it could be a good candidate for the treatment of giant inguinoscrotal hernia.
