OC-025 STRATEGY FOR SURGICAL TREATMENT OF GIANT INGUINOSCROTAL HERNIA - SERIES OF 21 CONSECUTIVE PATIENTS DURING 15 YEARS

Abstract Aim To present our strategy for surgical treatment of patients with giant inguinoscrotal hernia whose defect is ≥10 cm or who have a loss domain. Material and methods Between January 2006 - 2022, 21 consecutive high risk postoperative intra-abdominal hypertension were managed. The was repaired in the following manner: modified Rives technique performed through direct inguinal approach 10 patients; additional procedures needed to reduce volume organs returned abdomen four primary abdominal cavity enlarged by various components separation techniques without mesh hernioplasty seven patients. Results size range 7–17 cm. In three contents sac accounted more than 50% intestines: entire large bowel rectum, ileum, jejunum except proximal 15 greater omentum). Postoperative complications occurred eight were: scrotal hematoma, deep infection, seroma hydrocele. There deaths: 12 hours, 17 42 days after surgery because ischemic enteritis, cerebrovascular stroke heart failure, respectively. Conclusion Our consisting enlarge can be good solution hernias. Procedure followed deadly requires trained team intesive care unit.