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Inguinal hernia is one of the most common general surgical operation world wide accounting for 10-15% of all surgical procedures. In part of Africa the anormal incidence of inguinal hernia is as high as 175% per 100.000 people . However, less than 40% are actually repaired, resulting in many patients developing long standing inguino-scrotal hernia. The long standing evolution of inguino-scrotal hernia can result in the development of giant inguino-scrotal hernia (GISH) whose management poses therapeutic challenges to surgeon in resources limited country.
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