OC-002 EVALUATION OF GIANT INGUINAL HERNIA REPAIR RESULTS - A RETROSPECTIVE SINGLE INSTITUTION CASE-CONTROL PROPENSITY SCORE MATCHED STUDY

Abstract Background Giant inguinal hernia (GIH), defined as a descending below the inner-thigh midpoint in upright position, is rare. Case reports describe techniques which abdominal cavity prepared and care taken to prevent compartment syndrome (ACS). Our aim was analyze review our experience with GIH repair. Methods Retrospective single-institution, case-control, study included adults who underwent repair between 2014–2021 at an university referral center. Technique endo-tracheal intubation, head-down positioning, maximal pre-incision reduction of contents, mesh. Follow-up conducted outpatient clinic. Results were compared time-based control group. During period, 58 patients open mesh without preparation. Control group 232 non-giant (control group). Bowel resection not necessary any case. The in-hospital 30-day complication rates 17.2% 68.9% group, 8.2% 27.2%, (p=0.04, OR=2.3; p<0.001, OR=5.9, respectively). Ischemic orchitis common (65.5%) (13.4%) (p<0.001, OR=12.3). ACS, major complications mortality reported. 90-day similar. 2 cases recurrence (0.9%) observed Conclusions suggests that safe feasible, there no need for Early complications, mainly ischemic orchitis, are more than but long-term implications very low rate.