INTRODUCTION Complex ventral midline hernias include hernias with large defect (>10 cm) and multi-orifice and recurrent anterior abdominal wall hernias. Treatment of such hernias remains a surgical challenge due to the high incidence of hernia recurrence and surgical complications.(1,2) Suture repair of such hernias carries unacceptably high recurrence rates (>50%), so it is currently discouraged. On the other hand, prosthetic ... Read more

ABSTRACT _AIM:__ is to emphasize inguinal mega hernia management with resection of the cord. _ _A case of 60 years blind male patient presented to the casualty department at 20 December 2008, complaining of two weeks history of complicated inguinal hernia, diagnosed to be giant, neglected, strangulated, Lt. sided complete oblique inguinal hernia, enterocele, with patches of scrotal skin gangrene ... Read more