September 1979

Repair of Massive Inguinal HerniaWith Pneumoperitoneum and Without Using Prosthetic Mesh

Author Affiliations

From the West Midlands Regional Health Authority, Birmingham, England, and the Department of Surgery, University of California at Los Angeles School of Medicine.

Arch Surg. 1979;114(9):1087-1088. doi:10.1001/archsurg.1979.01370330109021

• There was an unusual need for preoperative induction of an artificial pneumoperitoneum in two cases of inguinal hernia. Both hernias were very large and associated with extensive intertrigo. Daily insufflations of air were performed for 13 and 11 days, with the patients compensating for this increased intra-abdominal pressure over this time. Operation with removal of the ipsilateral testicle, cord, and scrotum was then straightforward and convalescence uneventful. The pneumoperitoneum allowed a repair to be effected without using a prosthetic mesh.

(Arch Surg 114:1087-1088, 1979)