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ISSN 1405-0099 (Print)

2019, Number 2

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Cir Gen 2019; 41 (2)

Progressive preoperative pneumoperitoneum in abdominal wall hernias

Flores RJJ, de la Cruz ÁLD, Reyes GAC, Balderrama ASC

Language: Spanish
References: 20
Page: 92-97
PDF size: 291.04 Kb.


ABSTRACT

Objective: In 1940, the progressive preoperative pneumoperitoneum was described to increase abdominal cavity volume progressively in patients with hernias and loss of dominion, before visceral reintroduction, thus decreasing complications in the immediate postoperative period. Material and methods: We evaluated patients with giant incisional hernias or with loss of dominion in whom a double-lumen intraperitoneal catheter was placed for insufflation of ambient air during a period of seven to 17 days before hernia repair, over an 18 month period. Pre-, trans- and postoperative variables were analyzed. Results: Nine patients (eight females, one male) were gathered. On average, a volume of 800 cm3 ambient air was insufflated. We had a loss of pneumoperitoneum due to leakage in one case, but closure was ensured thereafter. Pneumoperitoneum allowed the further reduction of the viscera to the cavity in all cases. Conclusions: The use of pneumoperitoneum allowed adequate closure of hernias, none had a compartmental syndrome. It was possible for us to achieve a new alternative to the preoperative management of hernia pathologies, such as the loss of dominion in giant defects of the abdominal wall.


REFERENCES

  1. Hernández LA, Villalobos EJ, Murillo A. Progressive preoperative pneumoperitoneum. In: Hope W, Cobb W, Adrales G. Textbook of hernia. Switzerland. Springer. 2017. pp. 353-359.

  2. Ricciardi GL. Eventraciones y hernias por deslizamiento: tratamiento y técnicas pre y postoperatorias. Tendencias en Medicina. 2011; 6: 123-128.

  3. Soto DB, Del Pozzo MJ, Luna MJ. Experiencia con la técnica de Clotteau-Prémont en hernias de pared abdominal. Reporte preliminar. Cirugía y Cirujanos. 2006; 74: 321-328.

  4. Mcadory RS, Cobb WS, Carbonell AM. Progressive preoperative pneumoperitoneum for hernias with loss of domain. Am Surg. 2009; 75: 504-508.

  5. Marenco de la Cuadra, B, Guadalajara Jurado JF, García Moreno J, Moreno Romero R. Tipos de hernias. Clasificaciones actúale. Clasificación actual de la EHS. Cir Andal. 2013; 24: 225-227.

  6. Sabbagh C. Progressive preoperative pneumoperitoneum preparation (the Goñi Moreno protocol) prior to large incisional hernia surgery: volumetric, respiratory and clinical impacts. A prospective study. Hernia. 2012; 16: 33-40.

  7. Martínez MA, Quijano OF, Padilla LR, Hesiquio R, Álvarez O, Medina O. Catéter de doble luz para neumoperitoneo en hernias gigantes. Informe de cuatro pacientes. Cir Gen. 2002; 24: 313-318.

  8. Hernández CJ, Chávez SG, Rodríguez BE, Hidalgo VC. Reporte de un caso: manejo de una hernia incisional y pérdida de dominio con neumoperitoneo progresivo preoperatorio. Ciencia UG. 2012; 1: 1-3.

  9. López MC, Robres J, López Cano M, Barri J, Lozoya R, López S, et al. Neumoperitoneo preoperatorio progresivo en pacientes con hernias gigantes de la pared abdominal. Cir Esp. 2013; 91: 444-449.

  10. Vargas-Flores E, Beristain-Hernández JL, Villalpando C, Servín E, Delgadillo G, Sánchez FJ, Nava H, et al. Reparación de hernia ventral con separación de componentes posterior: una revisión. Rev Hispanoam Hernia. 2017; 5: 40-46.

  11. Mayagoitia JC. Neumoperitoneo progresivo preoperatorio y uso de la toxina botulínica para el manejo de las hernias con pérdida de dominio. En: Carbonell F, Moreno-Egea A. Eventraciones, otras hernias de pared y cavidad abdominal. Madrid, España. Asociación Española de Cirujanos. 2012. pp. 365-375.

  12. Beltrán MA. Hernia incisional gigante complicada. Consecuencias de una evolución prolongada. Rev Hispanoam Hernia. 2013; 1: 44-48.

  13. Acevedo Fagalde A, Justiniano Peralta JC, García Piguillen G, Lombardi Solari J. Eventraciones de la línea media: técnica de Rives-Stoppa sin fijación de la malla. Resultados a largo plazo. Rev Hispanoam Hernia. 2013; 1: 95-100.

  14. Timmerman L, Jeekel J, Lange JF. Introduction and outline of thesis. In: Timmermans L. Risk factors and prevention of incisional hernia. Erasmus Universiteit Rotterdam. 2014. pp. 8-17.

  15. Moreno IG. Chronic eventrations and large hernias. Preoperative treatment by progressive pneumoperitoneum-Original procedure. Surgery. 1947; 22: 945-953.

  16. Koontz AR, Graves JW. Preoperative pneumoperitoneum as an aid in the handling of gigantic hernias. Ann Surg. 1950; 140: 759-762.

  17. Piskin T, Aydin C, Barut B, Dirican A, Kayaalp C. Preoperative progressive pneumoperitoneum for giant inguinal hernias. Ann Saudi Med. 2010; 30: 317-320.

  18. Mayagoitia GJ, Arenas JC, Suárez D, Díaz de León V, Álvarez R. Neumoperitoneo progresivo preoperatorio en hernias de la pared abdominal con pérdida de dominio. Cirujano General. 2005; 27: 280-285.

  19. Cerasani N, Türler A, Heiss MM, Bulian R. Preoperative progressive pneumoperitoneum complementing the surgical treatment of a big scrotal hernia with loss of domain: a case report. J Surg Transplant Sci. 2017; 5: 1049.

  20. Rodríguez Ortega M, Garaulet P, Ríos R, Jiménez V, Limones M. Neumoperitoneo en el tratamiento de hernias gigantes. Cir Esp. 2006; 80: 220-223.




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