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Giant Hernia: Hug and TOP Technique

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The Art of Hernia Surgery

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Abstract

Giant inguinoscrotal hernias have been defined as those that extend below the midpoint of the inner thigh with the patient in the standing position [1]. Giant inguinoscrotal hernias, with a significant secondary abdominal cavity, are infrequent in developed countries; nevertheless, on rare occasions, patients visit their clinician after years of neglect and refusing to admit their problem. Even among underserved populations, the incidence of giant inguinoscrotal hernias is less than that of large inguinoscrotal hernias: indeed, this evidences the real distinction between giant and large inguinoscrotal hernias. Giant inguinoscrotal hernias are not only those that extend below the midpoint of the inner thigh when the patient is standing but also those with an anteroposterior diameter of at least 30 cm and a laterolateral diameter of about 50 cm and have been not reducible for more than 10 years (Figs. 37.1 and 37.2).

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Authors and Affiliations

  1. University of Insubria, Varese, Italy

    Giampiero Campanelli, Piero Giovanni Bruni, Francesca Lombardo & Marta Cavalli

  2. General and Day Surgery Unit, Center of Research and High Specialization for the Pathologies of Abdominal Wall and Surgical Treatment and Repair of Abdominal Hernia, Milano Hernia Center, Istituto Clinico Sant’Ambrogio, Milan, Italy

    Giampiero Campanelli, Piero Giovanni Bruni, Francesca Lombardo & Marta Cavalli

Authors
  1. Giampiero Campanelli
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  2. Piero Giovanni Bruni
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  3. Francesca Lombardo
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  4. Marta Cavalli
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Correspondence to Giampiero Campanelli .

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Editors and Affiliations

  1. University of Insubria, Istituto Clinico, Sant’Ambrogio General Surgery Day Surgery, Milan, Italy

    Giampiero Campanelli

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Campanelli, G., Bruni, P.G., Lombardo, F., Cavalli, M. (2018). Giant Hernia: Hug and TOP Technique. In: Campanelli, G. (eds) The Art of Hernia Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-72626-7_37

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  • DOI: https://doi.org/10.1007/978-3-319-72626-7_37

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-72624-3

  • Online ISBN: 978-3-319-72626-7

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