By creating a common language among surgeons, we believe that the volumetric measurement-based scrotal hernia classification system that we propose in this study will lead to further studies and discussion on the management of these hernias.
Because the borders of the scrotum have not been described anatomically, it has not been possible to correctly define scrotal hernias. Instead, in the current surgical literature, scrotal hernias are subjectively named scrotal, big scrotal, giant scrotal, etc.
In the presence of scrotal hernias, because the hernia sac typically protrudes from the human body, it is possible to measure the dimensions of the hernia sac in an upright position with a caliper gage without any need for ultrasonography or CT.
Traditionally, various techniques have been used in the treatment of scrotal hernias; the use of these techniques depends entirely on the surgeon's experience.
A particular gene associated to the formation of scrotal hernia was of interest in this study, the B-cell lymphoma 2 (BCL2)-associated X protein or the BAX and its corresponding SNP .
Environmental and genetic factors were also seen as contributing factors to the formation of Scrotal Hernia. However, the influences of these have not been fully established up to present.
A reported frequency of 2% in the entire population of swine manifested the presence of scrotal hernia in Germany.
This study was conducted to screen the mutation in BAX gene associated with scrotal hernia, determine its frequency in a population of domesticated swine and identify incidence in different breeds tested.
Initially scrotal swelling was thought of a scrotal hernia
, hydrocele, pyocele, septic orchitis, hematoma, neoplasia, testicular torsion but on surgical exploration of scrotum, purulent orchitis was revealed.
The kid looked bright, alert and apparently healthy with no other abnormality other than hydrocele or scrotal hernia. On close physical examination, it was found that the scrotum was uniformly enlarged and felt doughy but evinced no pain on palpation and or manipulation to reduce the mass.
History revealed it was a case of congenital unilateral scrotal affection diagnosed to be the scrotal hernia which gradually increased in size and volume.
Similar to our case, Minordi and colleagues[sup.9] reported a case with massive scrotal hernia
complicated by bladder rupture.