V-016 TAPP APPROACH FOR A GIANT INGUINOSCROTAL HERNIA

Abstract Aim We present the case of a patient with giant inguinoscrotal hernia and laparoscopic approach performed. Material & Methods 54yo Male, no medical history except for BMI41. He is evaluated in outpatient clinic asymptomatic left ten years evolution. denies digestive symptoms. Difficulty urination without symptoms obstruction. On examination, 20×15cm not reducible extending to mid-thigh. Minimally invasive approach, TransAbdominal PrePeritoneal, was The content long portion sigma large amount fat from greater omentum. After returning them abdominal cavity help pressure outside, TAPP technique performed incident, localization elements spermatic cord. Polypropylene mesh 12×15cm fixed tackers cyanoacrylate placed. Results discharged on 4thPO day incidents. Subsequently he developed seroma that required percutaneous drainage heart failure caused scrotal edema, resolved diuretic treatment. Ten months later there recurrence. Conclusions Giant surgical challenge. Anterior or posterior open minimally invasive, can be Sometimes intestinal resection and/or orchiectomy required. need preoperative conditioning botulinum toxin even pneumoperitoneum considered. presume that, when possible, best these defects since it provides field most resistant plane inguinal repair.