Lin Manzhou, Long Guojie, Chen Ming, Chen Weice, Mo Jian, Chen Nianping
Department of Hernia and Abdominal Wall Surgery, Affiliated Hospital of Guangdong Medical University, Guangdong Medical University, Zhanjiang, China.
BMC Surg. 2020 Jun 9;20(1):123. doi: 10.1186/s12893-020-00786-9.
Giant inguinal hernia(GIH), a rare disease, has brought great challenges to surgeons. GIH is defined as an inguinal hernia that extends below the midpoint of the inner thigh in standing position. However, a giant recurrent inguinal hernia resulting from previous operations that destroy the anatomical structure of the inguinal region is extremely rare. Nerve injury, a complication following inguinal hernia repair, is mostly found in ilioinguinal nerve and iliohypogastric nerve, which often presents as numbness and acute or chronic pain, while postoperative muscular dysfunction results from femoral nerve injury is rare.
A 77-years-old woman presented with a complaint of a reducible mass in the left inguinal of duration 1 year. The patient had three previous inguinal hernia repairs. Physical examination and auxiliary examination indicated a giant inguinal hernia with femoral nerve injury. After preoperative evaluation and preparation, a transabdominal partial extraperitoneal(TAPE) repair have performed. Finally, the patient recovered and was discharged.
In conclusion, we reported a rare case of a giant recurrent inguinal hernia with femoral nerve injury and made a successful treatment for the patient via transabdominal partial extraperitoneal(TAPE) repair.
巨大腹股沟疝（GIH）是一种罕见疾病，给外科医生带来了巨大挑战。GIH被定义为站立位时腹股沟疝延伸至大腿内侧中点以下。然而，既往手术破坏腹股沟区解剖结构导致的巨大复发性腹股沟疝极为罕见。神经损伤是腹股沟疝修补术后的一种并发症，多发生在髂腹股沟神经和髂腹下神经，常表现为麻木及急慢性疼痛，而股神经损伤导致的术后肌肉功能障碍较为罕见。
一名77岁女性因左侧腹股沟可复性肿物1年就诊。该患者既往有3次腹股沟疝修补术。体格检查及辅助检查提示巨大腹股沟疝合并股神经损伤。经过术前评估与准备，实施了经腹腹膜外部分修补术（TAPE）。最终，患者康复出院。
总之，我们报道了1例罕见的巨大复发性腹股沟疝合并股神经损伤的病例，并通过经腹腹膜外部分修补术（TAPE）成功治疗了该患者。
