Abstract
A 73-year-old man was seen at our hospital because of a bulge in the right inguinal region. His height was 159 cm, weight was 84 kg, and body mass index was 32.2kg/m2. He first noticed the bulge in his right groin during adolescence. The hernia was reducible until age 55. The bulge was similar in size to an infant's head. With the patient in the upright position, the tip of the scrotum reached the knee. Computed tomography revealed that the hernia included the sigmoid colon and the great omentum. Although the hernia was irreducible, the patient was placed on an elective surgery list since there were no symptoms of incarceration. Before the operation, the hernia content and intra-abdominal volume were reduced using Magcorol P. Transabdominal preperitoneal repair (TAPP) was performed using Ventralight ST Mesh and SorbaFix for stabilization. The Japan Medical Abstract Society database contained no previous reports of the treatment of a giant inguinal hernia using TAPP. Here we discuss three points that merit careful consideration based on our treatment experience : judgment and method of reduction, mesh selection, and abdominal compartment syndrome.
