We present a case of a giant right inguinoscrotal hernia, which was treated with a multi-stage extensive operation, following adequate pre-operative respiratory preparation. The operation included reduction of the hernial contents in the abdominal cavity following omentectomy, right hemicolectomy and splenectomy, hernioplasty and reconstruction of the abdominal wall with the preperitoneal use of a Composix mesh and finally reductive reconstruction of the scrotum. The technique described represents a successful combination of various techniques described for the management of these patients. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s10029-009-0533-yAuthors A. Patsas, Aristotle University of Thessaloniki, G. Gennimatas General Hospital 2nd Department of Surgery, ...