２５ｋｇの減量後に手術した巨大な鼠径ヘルニアの１例

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  • A CASE OF MASSIVE INGUINAL HERNIA IN AN EXTREMELY OBESE PATIENT OPERATED AFTER 25kg WEIGHT REDUCTION

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A 53-year-old man was seen at our hospital because of huge scrotum which had started to enlarge since 10 years earlier. He was in severe obesity, 175cm in height and 123kg in weight. The scrotum distended to the size of an adult head, and the penis was embedded in the scrotum. No symptoms of intestinal obstruction were present, but manual reduction of the intestine was not possible. Abdominal CT showed sigmoid colon was in the hernia sac. Obesity is one of the perioperative risk factors of respiratory failure or deep vein thrombosis, so he was recommended to go on a diet to lose weight.<br> Seven months later, his weight was reduced to 98kg. We performed a tension-free repair and PROLENE Hernia System was utilized to close the large inguinal defect of approximately 5cm in diameter. The patient's postoperative course was smooth. No recurrent herniation occurred in the follow up to present.

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