Open mesh repair of a voluminous recurrent inguinal hernia complicated by strangulation and intestinal obstruction

Anthony Jude Edeh
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Chukwuemeka Chijioke Nwangwu
Wilfred Okwudili Okenwa
Chijioke Chinedu Anekpo
Balantine Ugochukwu Nicholas Eze
Chinonso Chibueze Basil-Nwachukwu
Department of Surgery, Enugu State University of Technology Teaching Hospital, Enugu. Nigeria
Department of Surgery, Enugu State University of Technology Teaching Hospital, Enugu, Nigeria
Department of Surgery, Enugu State University of Technology Teaching Hospital, Enugu, Nigeria
Department of ENT, Enugu State University of Technology Teaching Hospital, Enugu, Nigeria
Department of Surgery, Enugu State University of Technology Teaching Hospital, Enugu, Nigeria
Department of Surgery, Enugu State University of Technology Teaching Hospital, Enugu, Nigeria
Received: 24 June 2019 / Accepted: 27 August 2019 / Published: 30 September 2019

Abstract

Introduction. Inguinal hernia is a common surgical pathology in Nigeria but a giant (voluminous) recurrent strangulated inguino-scrotal hernia causing intestinal obstruction is very uncommon. Such a hernia, when it is recurrent and becomes complicated with strangulation and dynamic intestinal obstruction, presents many difficulties in management.  

Aim. To present the successful management of a case of a strangulated and obstructed giant recurrent inguinal hernia.

Description of the case. Here we present the case of 47 year old man who had intestinal resection and anastomosis with prolene mesh repair of the posterior wall for a strangulated recurrent large inguinal hernia using the technique of tension free sutured prolene mesh popularized by Lichtenstein. 

Conclusion. The patient recovered, was satisfied with his care and has been symptom free at 18 months of follow up. Giant recurrent hernias complicated by strangulated and intestinal obstruction are uncommon in Nigeria today, despite our resource-poor status. When they occur, tension free repair with sutured onlay prolene mesh after Lichtenstein, can be a useful and the best option with satisfactory results, as in the case reported.

 

Cite

Edeh AJ, Nwangwu CC, Okenwa WO et al. Open mesh repair of a voluminous recurrent inguinal hernia complicated by strangulation and intestinal obstruction. Eur J Clin Exp Med. 2019;17(3):270–273. doi: 10.15584/ejcem.2019.3.12

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