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

• Authors: Anthony Jude Edeh , Chukwuemeka Chijioke Nwangwu , Wilfred Okwudili Okenwa , Chijioke Chinedu Anekpo , Balantine Ugochukwu Nicholas Eze , Chinonso Chibueze Basil-Nwachukwu
• Languages of publication: EN

Abstracts

EN

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.

Keywords

EN

Inguinal hernia; recurrent; voluminous; strangulated; mesh repair

• Publisher: Uniwersytet Rzeszowski. Wydawnictwo Uniwersytetu Rzeszowskiego
• Journal: European Journal of Clinical and Experimental Medicine
• Year: 2019
• Issue: 3
• Pages: 270-273

Contributors

author

Anthony Jude Edeh

• Department of Surgery, Enugu State University of Technology Teaching Hospital, Enugu, Nigeria

author

Chukwuemeka Chijioke Nwangwu

• Department of Surgery, Enugu State University of Technology Teaching Hospital, Enugu, Nigeria

author

Wilfred Okwudili Okenwa

• Department of Surgery, Enugu State University of Technology Teaching Hospital, Enugu, Nigeria

author

Chijioke Chinedu Anekpo

• Department of ENT, Enugu State University of Technology Teaching Hospital, Enugu, Nigeria

author

Balantine Ugochukwu Nicholas Eze

• Department of Surgery, Enugu State University of Technology Teaching Hospital, Enugu, Nigeria

author

Chinonso Chibueze Basil-Nwachukwu

• Department of Surgery, Enugu State University of Technology Teaching Hospital, Enugu, Nigeria

Identifiers

DOI

10.15584/ejcem.2019.3.12