Free Evisceration A Rare Complication of Inguinal Hernia Volume 6 - Issue 1

Radu D¹*, Bistrian E², Precup M³, Ghirlea O⁴ and Olariu S⁵

• ¹Department of Surgery, Victor Babes University of Medicine and Pharmacy, Romania
• ²MD. PhD Surgery Clinic, Pius Brînzeu County Emergency Hospital, Romania
• ³Surgeon, Surgery Clinic, Pius Brînzeu County Emergency Hospital, Romania
• ⁴Rezident in Surgery, Surgery Clinic, Pius Brînzeu County Emergency Hospital, Romania
• ⁵Chief of 1st Surgical Clinic, Pius Brînzeu County Emergency Hospital, Romania, Professor of surgery, Department of Surgery, Victor Babes University of Medicine and Pharmacy, Romania

Received: January 07, 2021;   Published: January 26, 2021

Corresponding author:Radu D, Department of Surgery, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania

DOI: 10.32474/SCSOAJ.2021.06.000228

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Abstract

The presentation of this case is necessary to understand the importance of therapeutic intervention at the best time for the disease, when it is not complicated when it is not complicated, because unjustified delay in treatment or surgery has serious, sometimes fatal consequences, at best the costs of treatment increase, sequelae generally occur, but often the evolution of a relatively benign condition can lead to the death of the patient. Patient with old, neglected left inguinal hernia, insidiously migrated to the scrotum and where there have recently been decubitus skin lesions, suddenly suffers from aggravation following a coughing access with evisceration of the intestinal contents through the scrotum. He is brought urgently to the emergency room of SCJUPBT where he is taken over and examined quickly, the distance in time between the presentation to the emergency room and the intervention being almost 30 min. The right and the fastest surgery is consisting in reintroduction of intestinal loops in the peritoneal cavity even if sacrificing a portion of the ileum and left testicle is necessary, the cure of hernia through intraperitoneal approach, surgery that led to favorable evolution and fast healing, without complications, the patient being discharge 10 days postoperatively . Thereby the expected favorable result is obtained. In conclusion, the very good result of the treatment obtained in the presented patient is due to how quickly the patient was brought to our service, a quick surgery, with correct indication and technique, decisive factors in curing a disease without sequelae and without recurrences.

Keywords:Preventive therapy; inguinal hernia; evisceration; technique

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