{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:39:07Z","timestamp":1787841547105,"version":"build-2784847793"},"reference-count":25,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2024,7,30]],"date-time":"2024-07-30T00:00:00Z","timestamp":1722297600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>A giant inguinoscrotal hernia extends below the level of the midpoint of the thigh, in an upright position. They are usually due to the neglect of the patient and fear of surgical intervention. Patients typically present with lower urinary tract symptoms, ulcers over the scrotum caused due to dribbling of urine and rarely with obstruction or strangulation. Here, we present a similar case of an uncomplicated giant inguinoscrotal hernia with a Tanaka index of 74% who was preoperatively optimised with BOTOX (BOtulinum TOXin-A) and pre-operative progressive pneumoperitoneum and was managed laparoscopically with enhanced totally extraperitoneal repair. This signifies the importance of optimisation of the patients, especially with loss of domain help in managing such cases without any resection of bowel or omentum. Moreover, this proper pre-operative optimisation also helped us in managing such a case laparoscopically.<\/jats:p>","DOI":"10.4103\/jmas.jmas_98_24","type":"journal-article","created":{"date-parts":[[2024,8,3]],"date-time":"2024-08-03T02:01:25Z","timestamp":1722650485000},"page":"406-410","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Laparoscopic totally extraperitoneal management of giant inguinoscrotal hernia with loss of domain"],"prefix":"10.4103","volume":"21","author":[{"given":"Bharath","family":"Cumar","sequence":"first","affiliation":[{"name":"Department of Upper GI Surgery, Gem Hospital and Research Institute, Coimbatore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pradeep Joshua","family":"Christopher","sequence":"additional","affiliation":[{"name":"Department of Surgical Gastroenterology and Bariatric Surgery, Gem Hospital and Research Institute, Coimbatore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S. Saravana","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Upper GI Surgery and Bariatric Surgery, Gem Hospital and Research Institute, Coimbatore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ramesh","family":"Natarajan","sequence":"additional","affiliation":[{"name":"Department of Upper GI Surgery, Gem Hospital and Research Institute, Coimbatore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Parthasarathi","family":"Ramakrishnan","sequence":"additional","affiliation":[{"name":"Department of Upper GI Surgery, Gem Hospital and Research Institute, Coimbatore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Palanivelu","family":"Chinnusamy","sequence":"additional","affiliation":[{"name":"Gem Hospital and Research Institute, Coimbatore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,7,30]]},"reference":[{"key":"R1-20251014","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1016\/S0039-6109(16)43287-1","article-title":"Scrotal reconstruction for giant inguinal hernias","volume":"64","author":"Hodgkinson","year":"1984","journal-title":"Surg Clin North Am"},{"key":"R2-20251014","doi-asserted-by":"crossref","first-page":"775","DOI":"10.1007\/s10029-014-1324-7","article-title":"Giant inguinal hernia:The challenging hug technique","volume":"19","author":"Cavalli","year":"2015","journal-title":"Hernia"},{"key":"R3-20251014","first-page":"383","article-title":"Massive inguinal hernia","volume":"43","author":"Kyle","year":"1990","journal-title":"Br J Hosp Med"},{"key":"R4-20251014","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1186\/s12893-017-0331-x","article-title":"Surgical treatment strategies for giant inguinoscrotal hernia \u2013A 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hernia","volume":"10","author":"Chernev","year":"2010","journal-title":"ScientificWorldJournal"},{"key":"R8-20251014","doi-asserted-by":"crossref","first-page":"684","DOI":"10.1007\/s00595-009-4125-3","article-title":"Challenging surgical management of a giant inguinoscrotal hernia:Report of a case","volume":"40","author":"Vasiliadis","year":"2010","journal-title":"Surg Today"},{"key":"R9-20251014","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1016\/j.ijscr.2010.11.005","article-title":"Simple repair of a giant inguinoscrotal hernia","volume":"2","author":"Coetzee","year":"2011","journal-title":"Int J Surg Case Rep"},{"key":"R10-20251014","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1007\/s10029-004-0291-9","article-title":"Approach to a giant inguinoscrotal hernia","volume":"9","author":"El 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