PURPOSE: @entity547 are a real challenge for every kind of surgeon. The technique that we adopt is suggested as a good option to deal with this cases. We report our experience in five cases of @entity547 with loss of domain from 2005 to 2012. METHOD: Five @entity1 with @entity547 that descended below the knees in the standing position, with an anteroposterior diameter not inferior to 30  cm and a laterolateral diameter of about 50  cm. Penis was not visible. We did the same procedure for all the five @entity1 : single pararectus incision extended to groin region until proximal half of scrotum, isolation of the entire large sac out of the scrotal cavity, paying attention to not opening it, progressive @entity353 without opening the sac with the @entity45815 technique, as shown in the video, placement of a heavyweight @entity7502 meshes in the preperitoneal space, scrotal skin reductive plastic. In three of our five cases we obtained @entity4256 without resection of them. Orchiectomy was performed in all cases. RESULTS: No general neither wound complications were recorded. Long term follow up ranges from 8  years to 18  months: we did not record recurrence or chronic groin @entity158 and scrotal size is normal in each @entity1 . CONCLUSION: The technique proposed permits to treat with @entity547 , avoiding the use of further specific procedure such as the preoperative progressive @entity516 . All our @entity1 were satisfied with the surgeries and their quality of daily life had definitely improved.

Giant inguinal hernia: the challenging XXXX technique.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity353 :: ('MESH:D015431', 'Disease') :: ['reduction of the viscera'] @entity4256 :: ('MESH:D054019', 'Disease') :: ['restoration of herniated viscera'] @entity45815 :: ('65250', 'Gene') :: ['hug'] @entity7502 :: ('MESH:D011126', 'Chemical') :: ['polypropylene'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity547 :: ('MESH:D006547', 'Disease') :: ['hernia', 'Giant inguinoscrotal hernia', 'giant inguinoscrotal hernia', 'success giant inguinaoscrotal hernia'] @entity516 :: ('MESH:D011027', 'Disease') :: ['pneumoperitoneum']
@entity45815 :: (65250,Gene) :: ['hug']
