Skip to main content

The Cavernous Direct Inguinal Hernia

  • Chapter
  • First Online:
The SAGES Manual of Hernia Surgery

Abstract

Giant inguinal hernias present challenges to both patient and surgeon alike. Patients presenting with such advanced hernias often have advanced comorbid conditions as well, raising the risks of an already complex repair. Loss of abdominal domain often further complicates perioperative management. This chapter will detail the anatomy and pathogenesis of such giant inguinal hernias, as well as detail several operative strategies for repair.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Momiyama M, et al. Treatment of a giant inguinal hernia using transabdominal pre-peritoneal repair. J Surg Case Rep. 2016;2016(9). https://doi.org/10.1093/jscr/rjw159

    Article  PubMed  PubMed Central  Google Scholar 

  2. Ananad M, Hajong R, et al. Giant inguinal herniae managed by primary repair: a case series. J Clin Diagn Res. 2017;11(2):PR01–2. https://doi.org/10.7860/JCDR/2017/22916.9180.

    Article  Google Scholar 

  3. Mahmoudvand H, Forutani S, et al. Comparison of treatment outcomes of surgical repair in inguinal hernia with classic versus preperitoneal methods on reduction of postoperative complications. Biomed Res Int. 2017;2017:3785302. https://doi.org/10.1155/2017/3785302.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Samra NS, Ballard DH, et al. Repair of large sliding inguinal hernias. Am Surg. 2015;81(12):1204–8.

    PubMed  Google Scholar 

  5. Hamad A, Marimuthu K, et al. Repair of massive inguinal hernia with loss of abdominal domain using laparoscopic component separation technique. J Surg Case Rep. 2013;2013(3):rjt008. https://doi.org/10.1093/jscr/rjt008.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Rosen M, Malangoni M. Hernia. In: Townsend Jr CM, Beauchamp RD, Evers BM, Mattox KL, editors. Sabiston textbook of surgery: the biological basis of modern surgical practice. 20th ed. Amsterdam: Elsevier; 2016. p. 324–98.

    Google Scholar 

  7. Read RC. Crucial steps in the evolution of the preperitoneal approaches to the groin: an historical review. Hernia. 2011;15(1):1–5. https://doi.org/10.1007/s10029-010-0739-z.

    Article  CAS  PubMed  Google Scholar 

  8. Fagan SP, Awad SS. Abdominal wall anatomy: the key to a successful inguinal hernia repair. Am J Surg. 2004;188(6A Suppl):3S–8S.

    Article  PubMed  Google Scholar 

  9. Rab M, Ebmer J, et al. Anatomic variability of the ilioinguinal and genitofemoral nerve: implications for the treatment of groin pain. Plast Reconstr Surg. 2001;108(6):1618–23.

    Article  CAS  PubMed  Google Scholar 

  10. Al-Dabbagh AK. Anatomical variations of the inguinal nerves and risks of injury in 110 hernia repairs. Surg Radiol Anat. 2002;24(2):102–7.

    Article  CAS  PubMed  Google Scholar 

  11. Kingsnorth A. Treating inguinal hernias. BMJ. 2004;328(7431):59–60. https://doi.org/10.1136/bmj.328.7431.59.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Trakarnsagna A, Chinswangwatanakul V, et al. Giant inguinal hernia: report of a case and reviews of surgical techniques. Int J Surg Case Rep. 2014;5(11):868–72. https://doi.org/10.1016/j.ijscr.2014.10.042.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Kudsi OY, Bhurtel P, et al. Robotic repair of inguinal hernia: preliminary findings of 160 consecutive repairs. Am J Robot Surg. 2015;2(1):16–21.

    Article  Google Scholar 

  14. Moreno IG. Chronic eventrations and large hernias. Surgery. 1947;22(6):945–53.

    CAS  PubMed  Google Scholar 

  15. Miyaki A, Yamaguchi K, et al. Diagnosis of inguinal hernia by prone- vs. supine-position computed tomography. Hernia. 2017;21:10. https://doi.org/10.1007/s10029-017-1640-9.

    Article  Google Scholar 

  16. Merrett ND, Waterworth MW, et al. Repair of giant inguinoscrotal inguinal hernia using Marlex mesh and scrotal skin flaps. Aust NZ J Surg. 1994;64:380–3.

    Article  CAS  Google Scholar 

  17. Heartsill L, Richards ML, et al. Open Rives-Stoppa ventral hernia repair made simple and successful but not for everyone. Hernia. 2005;9(2):162–6.

    Article  CAS  PubMed  Google Scholar 

  18. Reinpold WM, Nehls J, et al. Nerve management and chronic pain after open inguinal hernia repair: a prospective two phase study. Ann Surg. 2011;254(1):163–8. https://doi.org/10.1097/SLA.0b013e31821d4a2d.

    Article  PubMed  Google Scholar 

  19. Kudsi OY, McCarty JC, et al. Transition from laparoscopic totally extraperitoneal inguinal hernia repair to robotic transabdominal preperitoneal inguinal hernia repair: a retrospective review of a single surgeon’s experience. World J Surg. 2017;41(9):2251–7.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Society of American Gastrointestinal and Endoscopic Surgeons (SAGES)

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Pomposelli, T., Lassiter, G., Kudsi, O.Y. (2019). The Cavernous Direct Inguinal Hernia. In: Davis, Jr., S., Dakin, G., Bates, A. (eds) The SAGES Manual of Hernia Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-78411-3_35

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-78411-3_35

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-78410-6

  • Online ISBN: 978-3-319-78411-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics