International Journal of Clinical & Medical Imaging | OMICS International | Editorial Board
Home  |  Journals  |  Conferences |   Membership  |   FAQ's
Join  |  Contact  |   Sitemap  |                
OMICS Group Inc

International Journal of Clinical & Medical Images

ISSN: 2376-0249 Open Access

Surgical Intervention for Massive Inguino-Scrotal Herniae with an Obliterated Intra-Abdominal Cavity

Other Art Works

Image 01 Image 02
Image 03 Image 04
Image 05 Image 06
Image 07 Image 08
Image 09 Image 10
Image 11 Image 12
Image 13 Image 14
Image 15 Image 16
Image 17 Image 18
Image 19 Image 20
Image 21 Image 22
Image 23 Image 24
Image 25 Image 26
Image 27 Image 28
Image 29 Image 30

A 63 year old male with a long standing history of large bilateral inguino-scrotal herniae presented as an emergency with increasing scrotal pain, and raised inflammatory markers. CT abdomen/pelvis confirmed the presence of ischaemic bowel, with herniation from proximal jejunum to sigmoid colon. Following a multi-disciplinary approach and discussion with the patient regarding surgical intervention, a laparotomy and scrotal exploration was undertaken. A subtotal colectomy with end ileostomy formation was performed, along with scrotal skin reduction to allow full return of abdominal viscera to the abdominal cavity without the need for component separation. Surgical options described in the literature include a staged procedure using large breast expanders to create space in the peritoneal cavity, following which a laparotomy and return of abdominal viscera to the abdominal cavity is undertaken. In the emergency setting however bowel sacrifice and component separation are usually employed.