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Background: Inguinoscrotal hernias especially very large ones are hard to come by these days due to awareness and the urge to seek medical help early itself. But still few skip the radar harbouring huge hernias dubbed as 'Scrotal Abdomen'. The aim of this study is to discuss the management of them. This was a retrospective study of adult males age>18 years who had been diagnosed with large i Materials and Methods: nguinoscrotal hernias over a 3-year period between June 2020 to June 2023 with a minimum follow up period of 6 months. The age, presenting symptoms, side of the hernia, interval between symptom and presentation, operative procedure performed, contents of the hernia sac and post-operative complications were assessed. A total of 21 cases of inguinal hernia repairs were undertaken during t Results: he study period. Out of this number, 13 were taken as elective cases, 3 as emergency cases and 4 as semi-emergency cases. Extensive preoperative evaluation was done especially cardiopulmonary tness. In most of the cases preoperatively the capacity of abdominal cavity increased by creating pneumoperitoneum gradually. Hernioplasty was performed in 10 cases while Herniorraphy was done in 3 cases and a combined Herniorraphy with Hernioplasty in 7 cases. Respiratory Distress was the most common post-operative complication which was managed effectively. There was one mortality. Conclusion: Large Inguino-scrotal hernias may not be a common entity but they pose a signicant challenge in management. We still require more understanding of this complex entity to give effective results with least side effects.
Murukesan et al. (Mon,) studied this question.