Component separation in the repair of a giant inguinoscrotal hernia

Abstract

Uncommon in the developed countries today, giant inguinoscrotal hernias typically present after years, even decades of neglect, often following the development of complications or significant impairment of the patient’s quality of life.

A number of techniques for the repair of giant inguinoscrotal hernias have been reported.1–10 Although the use of scrotal skin flaps has been described for repair of these hernias, the case under review illustrates a new technique involving component separation of the hernial sac.1 In this case, a peritoneal flap was raised from the sac and reinforced using a polypropylene (Marlex) mesh, with redundant scrotal skin fashioned as a myocutaneous flap to provide skin coverage.