Year 2018 Vol. 26 No 2




Kursk State Medical University1,
Kursk Regional Clinical Hospital2, Kursk
The Russian Federation

The article presents a clinical case of treatment of a 55-year-old patient with an incarcerated inguinal hernia of giant size. At hospitalization, the patient complained of having a bulging anterior abdominal wall in the inguinal area of giant sizes (25×30 cm), the pain with straining, self-service problems and cosmetic difficulties. The history of the disease is more than 40 years, when the first hernia protrusion in the right inguinal region appeared, freely inserted into the abdominal cavity. The patient has never turned for help to any medical establishment. Hernia protrusion gradually increased in size. Recently, the pain syndrome, which occurred with physical activity, coughing, sneezing and rapid growth of hernia size have joined to the symptoms mentioned above. However, the cause of the treatment in the clinic was not a cosmetic defect, but the fact of the hernia irreducibility. After a comprehensive examination, the patient underwent hernia repair, the plastic of the anterior abdominal wall with a polypropylene surgical mesh according to the onlay technique. The postoperative period occurred without any exudative complications and manifestations of the compartment syndrome. The given clinical case is interesting as a possible treatment option for a fairly rare, giant size inguinal hernia in women.

Keywords: female inguinal hernia, surgical treatment, onlay plastic, ndoprosthetics, herniorrhaphy, pain syndrome, incarcerated hernia, clinical case
p. 238-242 of the original issue
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Address for correspondence:
305041, The Russian Federation,
Kursk, Karl Marx Str., 3,
Kursk State Medical University,
Department of Surgical Diseases 1.
Tel. office:+7 4712 35-36-90
Ivanov Ilya S.
Information about the authors:
Ivanov Sergej V., MD, Professor, Head of the Department of Surgical Diseases 1, Kursk State Medical University, Kursk, Russian Federation.
Golikov Albert V., PhD, Associate Professor of the Department of Surgical Diseases 1, Kursk State Medical University, Kursk, Russian Federation.
Gorbacheva Olga S., PhD, Head of the General Surgery Unit, Kursk Regional Clinical Hospital, Kursk, Russian Federation.
Ivanov Ilya S., MD, Professor of the Department of Surgical Diseases 1, Kursk State Medical University, Kursk, Russian Federation.
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