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CASE REPORT
Year : 2019  |  Volume : 12  |  Issue : 4  |  Page : 367-369

Giant inguinoscrotal hernia repaired by combined Bassini and Lichtenstein technique


1 Department of Urology, Urmia University of Medical Sciences, Urmia, Iran
2 Student Research Committee, Urmia University of Medical Sciences, Urmia, Iran

Correspondence Address:
Sina Dindarian
Orjhans Street, Resalat Blvd, Postal Code: 571478334, Urmia
Iran
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/mjdrdypu.mjdrdypu_96_18

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Giant inguinal hernia is a very rare event nowadays and occurs after years of neglect. We reported an unusual case of an elderly man with a giant left-sided inguinoscrotal mass containing not only the urinary bladder but also the small bowel loops and the omentum. We managed the hernia just by inguinal incision with extension to the internal ring, using the combined Bassini and Lichtenstein hernioplasty technique. As the hernia was giant and contained the major part of the bowels and the urinary bladder, we considered the risks of various hernia repairs and conducted combined Bassini and Lichtenstein technique to repair the posterior wall of the inguinal canal due to higher stability. After performing this method, the patient had a satisfactory postoperative status and we did not observe any specific problems or complications. Lichtenstein method has been approved to be a safe and efficient method to repair the hernia and is extensively used by surgeons. We suggest combined Bassini and Lichtenstein method in giant inguinoscrotal hernias, especially in those with great adhesions. However, we recommend further studies to compare this method with other techniques.


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