Publication

Abstract : In a developing country like India, due to lack of awareness patients don’t seek medical attention, which lead to gradual enlargement evolving into such giant hernia. Usual content is intestines, sometimes the entire mesenteric small bowel, the entire colon and omentum, even bladder, stomach may be present. Giant inguinal hernia post a challenging problem for the surgeons with various methods to manage the patient. Treatment should be individualized and planned well before surgery, anticipating complications and managing the co-morbidities. Surgery can be en-mass reduction of contents or abdominal content de-bulking or abdominal wall extension with mesh & tissue flaps. The selection of type of management depends largely on patient’s symptoms, comorbidities, cardio-pulmonary status, availability of facilities and surgical expertise.