PMC9684311_01
Physical examination revealed left flank swelling (A), and computed tomography revealed a bilateral inguinal hernia extending into both flanks between the abdominal wall and the skin (B,C).
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PMC9684311_01_fped-10-1030934-g001.jpg
F1
Progression of the left inguinal hernia was observed, and its size gradually increased (Figure 1A). Furthermore, computed tomography and abdominal radiography showed that the left inguinal hernia extended into the left flank between the body wall and skin (Figures 1B,C).
The left herniated orifice (A) was closed with GORE  DUALMESH  biomaterial and non-absorbable threads by suturing with the pubic tubercle, transversus abdominis fascia, and iliopubic tract (B). The right herniated orifice (C) was closed with GORE  DUALMESH  Biomaterial (D). After reducing prolapsed intestine into the abdominal cavity, the silo was placed at the midline incision (E).
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PMC9684311_01_fped-10-1030934-g002.jpg
F2
After removing the hernial sac, a large, herniated orifice was identified (Figure 2A). Tokyo, Japan) was used to close the herniated orifice with non-absorbable threads by suturing with the pubic tubercle, transversus abdominis fascia, and iliopubic tract (Figure 2B). The right herniated orifice was also large, requiring 4 cm x 2.5 cm GORE  DUALMESH  Biomaterial to close the orifice (Figures 2C,D). Hence, the silo was placed at the midline incision (Figure 2E).