Role of progressive preoperative pneumoperitoneum in the management of giant inguinoscrotal hernia-case report

Managing a giant inguinal hernia/ incisional/ ventral hernia had its own complications. The overtime adaptation of peritoneal cavity to lower abdominal pressure was one the most important factors responsible for these Surgical repair is also quite challenge because massive contents in sac, adhesions and concomitant fibrosis. In order reduce complications like intra-abdominal hypertension, cardiorespiratory problems increase wall compliance, many techniques were described. Progressive preoperative pneumoperitoneum well described technique with loss domain which helps conditioning period, increasing likelihood primary closure decreasing incidence compartment syndrome.