Perioperative management of a patient with bilateral inguinal hernia and loss of “domain”

Fedoseev A.V.; Inyutin A.S.; Zakharova O.A.

doi:https://doi.org/10.17116/hirurgia202604166

Fedoseev A.V.

Pavlov Ryazan State Medical University, Ryazan, Russia

ORCID: 0000-0002-6941-1997

Inyutin A.S.

Pavlov Ryazan State Medical University, Ryazan, Russia

ORCID: 0000-0001-8812-3248

Zakharova O.A.

Pavlov Ryazan State Medical University, Ryazan, Russia

ORCID: 0009-0002-3251-6135

Perioperative management of a patient with bilateral inguinal hernia and loss of “domain”

Authors:

Fedoseev A.V., Inyutin A.S., Zakharova O.A.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2026;(4): 66‑73

DOI: 10.17116/hirurgia202604166

Read: 338 times

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To cite this article:

Fedoseev AV, Inyutin AS, Zakharova OA. Perioperative management of a patient with bilateral inguinal hernia and loss of “domain”. Pirogov Russian Journal of Surgery. 2026;(4):66‑73. (In Russ.)
https://doi.org/10.17116/hirurgia202604166

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

Использование инфографики авторами научных работ

Abstract:

Giant inguinal hernia is a rare disease in developed countries that results from a patient’s refusal to undergo surgery for a long time. Treatment of giant inguinal hernias, especially incurable ones, is a difficult task due to high risk of complications. The most formidable one is abdominal compartment syndrome. Appropriate preoperative management is essential to prevent abdominal compartment syndrome in patients with giant inguinal hernias. We present the effectiveness of preoperative preparation and stage-by-stage surgical treatment of a patient with bilateral giant inguinal-scrotal hernia and 26.3% loss of “domain”. The patient underwent preoperative preparation aimed at adapting to hypoxia. Hernia repair with preperitoneal anterior abdominal wall replacement was performed according to original technique (RF patent for invention No. 2307601 dated 10.10.2007) in two stages. Two-stage preperitoneal anterior abdominal wall replacement combined with preoperative aerobic exercise for a giant bilateral inguinal hernia demonstrated effectiveness in adapting the patient to artificially induced hypoxia, preventing abdominal compartment syndrome and reducing the incidence of postoperative complications.

Keywords:

giant inguinal hernia

loss of “domain”

abdominal compartment syndrome

preperitoneal replacement

Authors:

Fedoseev A.V.

Pavlov Ryazan State Medical University, Ryazan, Russia

ORCID: 0000-0002-6941-1997

Inyutin A.S.

Pavlov Ryazan State Medical University, Ryazan, Russia

ORCID: 0000-0001-8812-3248

Zakharova O.A.

Pavlov Ryazan State Medical University, Ryazan, Russia

ORCID: 0009-0002-3251-6135

Received:

28.03.2025

Accepted:

02.04.2025

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References:

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