Department of Clinical Surgery, St. James's Hospital, Dublin 8, Ireland.
Hernia. 2013 Aug;17(4):541-3. doi: 10.1007/s10029-012-0942-1. Epub 2012 Jun 29.
Surgical intervention for giant inguino-scrotal herniae in the acute setting is high risk with significantly increased incidence of morbidity and mortality. While uncommon in modern practise, there are several surgical issues and approaches that need to be considered when this problem presents.
We describe the unusual occurrence of acute duodenal rupture as a direct result of a giant inguino-scrotal hernia. The literature on the operative management of giant inguino-scrotal hernia is also reviewed.
Giant inguino-scrotal herniae are best managed electively with full preoperative work up and assessment. Surgery in the acute patient is fraught with difficulty leading to increased morbidity.
在急性情况下，对巨大的腹股沟-阴囊疝进行手术干预风险很高，发病率和死亡率显著增加。虽然在现代实践中并不常见，但当出现这个问题时，需要考虑几个手术问题和方法。
我们描述了一种罕见的情况，即急性十二指肠破裂是巨大的腹股沟-阴囊疝的直接结果。还回顾了关于巨大的腹股沟-阴囊疝的手术治疗的文献。
巨大的腹股沟-阴囊疝最好通过充分的术前检查和评估择期进行治疗。在急性患者中进行手术困难重重，导致发病率增加。
