• Chin-Chia Wu, Jung-Cheng Kang, and Yu-Min Huang.
• Division of Colorectal Surgery, Department of Surgery, Buddhist Tzu Chi General Hospital and Tzu Chi University, Hualien, Taiwan.
• J. Gastrointest. Surg. 2012 Jul 1;16(7):1433-5.

IntroductionReduction en masse is a rare complication of an incarcerated inguinal hernia. Its occurrence should be suspected when intestinal obstruction persists despite a seemingly successful manual reduction or hernioplasty.Case ReportWe report our experience in the management of a reduction en masse of a direct inguinal hernia. The diagnosis was established by computed tomography of the abdomen. The reduction en masse, as well as an accompanying indirect hernia, was successfully managed with laparoscopic transabdominal preperitoneal hernioplasty.ConclusionThe safety, effectiveness, and minimal invasiveness conferred by the laparoscopic approach justified its application under such conditions.

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