Scrotum Hernia with Large Volume of Ascites

Ascitic hernia is still a thorny task but sometimes it may severely influence patients to live a simple but quality or functional life. Herein, we discuss regarding a 37-year-old man with a basketball like indirect inguinal ascitic hernia who was bedridden due to large volume of cirrhotic ascites. All conservative therapies seemed to be only little efficient, only surgery could save him. Based on our past decade's successful experience, where we used to apply an improved technique (Hernia-Roof/Hernia-Sac-Top (HST) approach) to solve scrotum ascitic hernia, aiming to strengthen resistant degree of groin area with little damage to its natural structure. Our technique has been confirmed a practical method in China, and reported in many Chinese version of journals. The technique has three advantages below: 1) Ascites was preoperatively managed to ensure the incision wound. 2) The hernia orifice was entirely exposed and closed with suture completely for the first time. The hernia sac itself, the lower mesh and the orifice-closed were fixed together via 3-D skills. The patient stood up again like a true man. Now he has been followed up in outpatient doctor's office since 10 years, No complications were found. After that, more cases including emergency cases were successfully performed. It is inspiring and has educational value for both patients and surgeons.