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Published in: Updates in Surgery 2/2013

01-06-2013 | Case Report

Pre-operative progressive pneumoperitoneum for repair of a large incisional hernia

Authors: Abdul Haque M. Quraishi, Mrinalini M. Borkar, Mayur M. Mastud, Gaurav G. Jannawar

Published in: Updates in Surgery | Issue 2/2013

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Abstract

Large incisional hernias are difficult to treat surgically because of the post-operative respiratory complications and abdominal compartment syndrome. Pre-operative progressive pneumoperitoneum is a technique which has been used in such cases. We describe a case of a large incisional hernia, where this technique was employed by objectively calculating abdominal and hernial sac volumes on the basis of computerized tomography scan of abdomen with a satisfactory outcome. A review of literature and issues involved in pre-operative progressive pneumoperitoneum have been discussed.
Literature
1.
go back to reference Korenkov M, Paul A, Sauerland S, Neugebauer E, Arndt M, Chevrel JP, Corcione F, Fingerhut A, Flament JB, Kux M, Matzinger A, Myrvold HE, Rath AM, Simmermacher RK (2001) Classification and surgical treatment of incisional hernia. Results of an experts’ meeting. Langenbecks Arch Surg 386(1):65–73PubMedCrossRef Korenkov M, Paul A, Sauerland S, Neugebauer E, Arndt M, Chevrel JP, Corcione F, Fingerhut A, Flament JB, Kux M, Matzinger A, Myrvold HE, Rath AM, Simmermacher RK (2001) Classification and surgical treatment of incisional hernia. Results of an experts’ meeting. Langenbecks Arch Surg 386(1):65–73PubMedCrossRef
2.
go back to reference Koontz AR (1958) Hernias that have forfeited the right of domicile: use of pneumoperitoneum as an aid in their operative cure. South Med J 51:165–168PubMedCrossRef Koontz AR (1958) Hernias that have forfeited the right of domicile: use of pneumoperitoneum as an aid in their operative cure. South Med J 51:165–168PubMedCrossRef
3.
go back to reference Tanaka EY, Yoo JH, Rodrigues AJ Jr, Utiyama EM, Birolini D, Rasslan SA (2010) computerized tomography scan method for calculating the hernia sac and abdominal cavity volume in complex large incisional hernia with loss of domain. Hernia 14(1):63–69PubMedCrossRef Tanaka EY, Yoo JH, Rodrigues AJ Jr, Utiyama EM, Birolini D, Rasslan SA (2010) computerized tomography scan method for calculating the hernia sac and abdominal cavity volume in complex large incisional hernia with loss of domain. Hernia 14(1):63–69PubMedCrossRef
4.
go back to reference Moreno IG (1947) Chronic eventration and large hernias: preoperative treatment by progressive pneumoperitoneum;original procedure. Surgery 22(6):945–953PubMed Moreno IG (1947) Chronic eventration and large hernias: preoperative treatment by progressive pneumoperitoneum;original procedure. Surgery 22(6):945–953PubMed
5.
go back to reference Koontz AR, Graves JW (1954) Preoperative pneumoperitoneum as an aid in the handling of gigantic hernias. Ann Surg 140(5):759–762PubMedCrossRef Koontz AR, Graves JW (1954) Preoperative pneumoperitoneum as an aid in the handling of gigantic hernias. Ann Surg 140(5):759–762PubMedCrossRef
6.
go back to reference Johnson WC (1972) Preoperative progressive pneumoperitoneum in preparation for repair of large hernias of the abdominal wall. Am J Surg 124(1):63–68PubMedCrossRef Johnson WC (1972) Preoperative progressive pneumoperitoneum in preparation for repair of large hernias of the abdominal wall. Am J Surg 124(1):63–68PubMedCrossRef
7.
go back to reference Sabbagh C, Dumont F, Robert B, Badaoui R, Verhaeghe P, Regimbeau JM (2011) Peritoneal volume is predictive of tension-free fascia closure of large incisional hernias with loss of domain: a prospective study. Hernia 15(5):559–565PubMedCrossRef Sabbagh C, Dumont F, Robert B, Badaoui R, Verhaeghe P, Regimbeau JM (2011) Peritoneal volume is predictive of tension-free fascia closure of large incisional hernias with loss of domain: a prospective study. Hernia 15(5):559–565PubMedCrossRef
8.
go back to reference Dumont F, Fuks D, Verhaeghe P, Brehant O, Sabbagh C, Riboulot M, Yzet T, Regimbeau JM (2009) Progressive pneumoperitoneum increases the length of abdominal muscles. Hernia 13(2):183–187PubMedCrossRef Dumont F, Fuks D, Verhaeghe P, Brehant O, Sabbagh C, Riboulot M, Yzet T, Regimbeau JM (2009) Progressive pneumoperitoneum increases the length of abdominal muscles. Hernia 13(2):183–187PubMedCrossRef
9.
go back to reference Sabbagh C, Dumont F, Fuks D, Yzet T, Verhaeghe P, Regimbeau JM (2011) Progressive preoperative pneumoperitoneum preparation (the Goni Moreno protocol) prior to large incisional hernia surgery: volumetric, respiratory and clinical impacts. A prospective study. Hernia. doi:10.1007/s10029-011-0849-2 Sabbagh C, Dumont F, Fuks D, Yzet T, Verhaeghe P, Regimbeau JM (2011) Progressive preoperative pneumoperitoneum preparation (the Goni Moreno protocol) prior to large incisional hernia surgery: volumetric, respiratory and clinical impacts. A prospective study. Hernia. doi:10.​1007/​s10029-011-0849-2
10.
go back to reference Ramirez OM, Ruas E, Dellon AL (1990) “Components separation” method for closure of abdominal wall defects: an anatomic and clinical study. Plast Reconstr Surg 86:519–526PubMedCrossRef Ramirez OM, Ruas E, Dellon AL (1990) “Components separation” method for closure of abdominal wall defects: an anatomic and clinical study. Plast Reconstr Surg 86:519–526PubMedCrossRef
11.
go back to reference Chevrel JP (1979) Traitement des grandes e′ventrations me′dianes par plastie en paletot et prothe′se. Nov Press Med 8:695–696 Chevrel JP (1979) Traitement des grandes e′ventrations me′dianes par plastie en paletot et prothe′se. Nov Press Med 8:695–696
12.
go back to reference Rives J, Pire JC, Flament JB, Palot JP, Body C (1985) Les traitment des grandes éventrations. Chirurgie 111:215–225PubMed Rives J, Pire JC, Flament JB, Palot JP, Body C (1985) Les traitment des grandes éventrations. Chirurgie 111:215–225PubMed
13.
go back to reference Bernard C, Polliand C, Mutelica L, Champault G (2007) Repair of giant incisional abdominal wall hernias using open intraperitoneal mesh. Hernia 11(4):315–320. Epub 2007 Apr 12 Bernard C, Polliand C, Mutelica L, Champault G (2007) Repair of giant incisional abdominal wall hernias using open intraperitoneal mesh. Hernia 11(4):315–320. Epub 2007 Apr 12
14.
go back to reference Ammaturo C, Bassi UA, Bassi G (2010) Outcomes of the open mesh repair of large incisional hernias using an intraperitoneal composite mesh: our experience with 100 cases. Updates Surg 62(1):55–61PubMedCrossRef Ammaturo C, Bassi UA, Bassi G (2010) Outcomes of the open mesh repair of large incisional hernias using an intraperitoneal composite mesh: our experience with 100 cases. Updates Surg 62(1):55–61PubMedCrossRef
15.
go back to reference Campanelli G, Bastazza M, Ruca A, Senni Buratti M, Casirani R, Nicolosi FM, Trivellini G, Pietri P (2000) Surgical treatment of incisional hernias with marked loss of substance. Hernia 4:202–205CrossRef Campanelli G, Bastazza M, Ruca A, Senni Buratti M, Casirani R, Nicolosi FM, Trivellini G, Pietri P (2000) Surgical treatment of incisional hernias with marked loss of substance. Hernia 4:202–205CrossRef
16.
go back to reference Trivellini G, Bagni CM, Sollini A, Senni M, Leone S, Contessini Avesani E (2001) Repair of giant hernias using more prosthesis. Hernia 5(3):124–128PubMedCrossRef Trivellini G, Bagni CM, Sollini A, Senni M, Leone S, Contessini Avesani E (2001) Repair of giant hernias using more prosthesis. Hernia 5(3):124–128PubMedCrossRef
17.
go back to reference Canziani M, Frattini F, Cavalli M, Agrusti S, Somalvico F, Campanelli G (2009) Sutureless mesh fibrin glue incisional hernia repair. Hernia 13(6):625–629PubMedCrossRef Canziani M, Frattini F, Cavalli M, Agrusti S, Somalvico F, Campanelli G (2009) Sutureless mesh fibrin glue incisional hernia repair. Hernia 13(6):625–629PubMedCrossRef
Metadata
Title
Pre-operative progressive pneumoperitoneum for repair of a large incisional hernia
Authors
Abdul Haque M. Quraishi
Mrinalini M. Borkar
Mayur M. Mastud
Gaurav G. Jannawar
Publication date
01-06-2013
Publisher
Springer Milan
Published in
Updates in Surgery / Issue 2/2013
Print ISSN: 2038-131X
Electronic ISSN: 2038-3312
DOI
https://doi.org/10.1007/s13304-012-0134-7

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