Open mesh repair of a voluminous recurrent inguinal hernia complicated by strangulation and intestinal obstruction

Authors

  • Anthony Jude Edeh Department of Surgery, Enugu State University of Technology Teaching Hospital, Enugu, Nigeria https://orcid.org/0000-0001-5650-5081
  • Chukwuemeka Chijioke Nwangwu Department of Surgery, Enugu State University of Technology Teaching Hospital, Enugu, Nigeria
  • Wilfred Okwudili Okenwa Department of Surgery, Enugu State University of Technology Teaching Hospital, Enugu, Nigeria
  • Chijioke Chinedu Anekpo Department of ENT, Enugu State University of Technology Teaching Hospital, Enugu, Nigeria
  • Balantine Ugochukwu Nicholas Eze Department of Surgery, Enugu State University of Technology Teaching Hospital, Enugu, Nigeria
  • Chinonso Chibueze Basil-Nwachukwu Department of Surgery, Enugu State University of Technology Teaching Hospital, Enugu, Nigeria

DOI:

https://doi.org/10.15584/ejcem.2019.3.12

Keywords:

Inguinal hernia, recurrent, voluminous, strangulated, mesh repair

Abstract

Introduction. Inguinal hernia is a common surgical pathology in Nigeria but a giant (voluminous) recurrent strangulated inguino-scrotal hernia causing intestinal obstruction is very uncommon. Such a hernia, when it is recurrent and becomes complicated with strangulation and dynamic intestinal obstruction, presents many difficulties in management.  

Aim. To present the successful management of a case of a strangulated and obstructed giant recurrent inguinal hernia.

Description of the case. Here we present the case of 47 year old man who had intestinal resection and anastomosis with prolene mesh repair of the posterior wall for a strangulated recurrent large inguinal hernia using the technique of tension free sutured prolene mesh popularized by Lichtenstein. 

Conclusion. The patient recovered, was satisfied with his care and has been symptom free at 18 months of follow up. Giant recurrent hernias complicated by strangulated and intestinal obstruction are uncommon in Nigeria today, despite our resource-poor status. When they occur, tension free repair with sutured onlay prolene mesh after Lichtenstein, can be a useful and the best option with satisfactory results, as in the case reported.

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Published

2019-09-30

How to Cite

Edeh, A. J., Nwangwu, C. C., Okenwa, W. O., Anekpo, C. C., Eze, B. U. N., & Basil-Nwachukwu, C. C. (2019). Open mesh repair of a voluminous recurrent inguinal hernia complicated by strangulation and intestinal obstruction. European Journal of Clinical and Experimental Medicine, 17(3), 270–273. https://doi.org/10.15584/ejcem.2019.3.12

Issue

Vol. 17 No. 3 (2019)

Section

CASUISTIC PAPERS

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