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Med Sante Trop. 2013 Jan-Mar;23(1):11-5. doi: 10.1684/mst.2013.0154.

[Surgical treatment of giant inguinoscrotal hernias with limited resources in Africa].

[Article in French]

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  • 1Service de chirurgie viscérale et vasculaire, hôpital d'instruction des armées Bégin, 69 avenue de Paris, Saint-Mandé, France.


Giant inguinoscrotal hernias represent a real public health problem in Africa that can dramatically impair patients' quality of life. Limited resources require a simplified surgical strategy that can include herniorraphy followed by abandoning the distal hernia sac into the scrotum. The best eligibility criteria for such an approach are a primary giant inguinoscrotal hernia, spontaneously reducible in the decubitus position and without any scrotal cutaneous trophic disorders. This reproducible surgical treatment has to be efficient with rapid recover from surgery allowing return to work and social reintegration.


Africa; giant inguinoscrotal hernia; limited resources; surgery

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