The use of progressive preoperative pneumoperitoneum as treatment in giant abdominal wall hernia
DOI:
https://doi.org/10.51481/amc.v60i1.993Keywords:
progressive pneumoperitoneum, giant hernia, loss of abdominal domain, abdominal wall, Goñi MorenoAbstract
Surgery for the correction of giant ventral hernias, with loss of abdominal domain, represents a major challenge due to the large number of potential comorbidities. In this pathology there is a migration of the abdominal organs to the hernia sac; eventually, the elements of the wall undergo atrophy and when trying to return the organs to their normal position, it can cause multiple adverse effects in the patient. Therefore, a careful planning must be carried out preoperatively. The use of progressive preoperative pneumoperitoneum, allows a more adequate adaptation from the physiological point of view, both at a systemic level, as in the abdominal capacity, to tolerate the return of contents that have lost their domain. We present here the case of a 58 year old female patient, with a giant ventral hernia with loss of abdominal domain, in whose management, the introduction of progressive preoperative pneumoperitoneum was used, described for the first time by Goñi Moreno, in 1940.
Downloads
References
Passot G, Villeneuve L, Sabbagh C, Renard L, Regimbeau J, Verhaeghe P, et al. Definition of giant ventral hernias: Development of standardization through a practice survey. Int J Surgery. 2016; 28: 136:140.
Sabbagh C, Dumont F, Fuks D, Yzet T, Verhaeghe P, Regimbeau J. Progressive preoperative pneumoperitoneum preparation (the Goni Moreno protocol) prior to large incisional hernia surgery: volumetric, respiratory and clinical impacts. A prospective study. Hernia. 2012; 16:33-40.
López M, Robres J, López 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 ( 7 ): 444 - 449.
Toniato A, Pagetta C, Bernante P, Piotto A, Pelizzo M. Incisional hernia treatment with progressive pneumoperitoneum and retromuscular prosthetic hernioplasty. Langenbeck's Arch Surg. 2002 387:246-248.
Renard Y, Lardi S, Mestier L, Appere F, Colosio A, Kianmanesh R, et al. Management of large incisional hernias with loss of domain: A prospective series of Patients prepared by progressive preoperative pneumoperitoneum. Surgery August. 2016; 160:426-35.
Winfield R, Del Guercio L. The Place for Pneumoperitoneum in the Repair of Massive Hernia. World J. Surg. 1989; 13: 581-585.
Bueno-Lledo J, Torregrosa A, Ballester N, Carrenö O, Carbonell F, Pastor F, et al. Preoperative progressive pneumoperitoneum and botulinum toxin type A in patients with large incisional hernia. Hernia. 2017; 21(2):233-243.
Koontz A, Graves J. Preoperative pneumoperitoneum as an aid in the handling of gigantic hernias. Ann Surg. 1954 Nov; 140(5):759-62.
Tanaka E, Yoo J, Rodrigues Jr. A, Utiyama E, Birolini D, Rasslan S. A computerized tomography scan method for calculating the hernia sac and abdominal cavity volume in complex large incisional hernia with loss of domain. Hernia. 2010; 14:63-69.
Dindo D, Demartines N, Clavien P. Classification of surgical complications a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg. 2004; 240: 205-213.
Mayagoitia J. Hernias de la pared abdominal, tratamiento actual. Asociación mexicana de Hhernia. 2009; 2 ed.
Dumont F, Fuks D, Verhaeghe P, Brehant O, Sabbagh C, Riboulot M, et al. Progressive pneumoperitoneum increases the length of abdominal muscles. Hernia. 2009; 13:183-187.
Cuminal L, Rousset P, Passot G, Caillot J, Valette J, Muller A. Image-guided preoperative progressive pneumoperitoneum for large incisional hernia repair. Diagn Interv Imaging. 2017; 98:507-509.
Alyami M, Passot G, Voiglio E, Lundberg P, Valette P, Muller A, et al. Feasibility of catheter placement under ultrasound guidance for progressive preoperative pneumoperitoneum for large incisional hernia with loss of domain. World J Surg. 2015;39: 2878-84.
Elstner K, Read J, Rodriguez-Acevedo O, Ho-Shon K, Magnussen J, Ibrahim N. Preoperative progressive pneumoperitoneum complementing chemical component relaxation in complex ventral hernia repair. Surg Endosc. 2017; 31:1914-1922.
Mcadory R, Cobb W, Carbonell A. Progressive preoperative pneumoperitoneum for hernias with loss of domain. Am Surg. 2009; 75:504-8.
Alam N, Narang S, Pathak S, Daniels I, Smart N. Methods of abdominal wall expansion for repair of incisional herniae: a systematic review. Hernia. 2016; 20:191-9.
Mayagoitia J, Suárez D, Arenas J, Díaz de León V. Preoperative progressive pneumoperitoneum in patients with abdominal-wall hernias. Hernia. 2006; 10:213-7.
Haque A, Quraishi M, Borkar M, Mastud M, Jannawar G. Pre-operative progressive pneumoperitoneum for repair of a large incisional hernia. Updates Surg. 2013; 65:165-168.
Oprea V, Matei O, Gheorghescu D, Leuca D, Buia F, Rosianu M, et al. Progressive Preoperative Pneumoperitoneum (PPP) as an Adjunct for surgery of hernias with loss of domain. Chirurgia. 2014; 109:664-669.
Lipman J, Medalie D, Rosen M. Staged repair of massive incisional hernias with loss of abdominal domain: a novel approach. Am J Surg. 2008; 195:84-8.
Downloads
Published
Issue
Section
License
Copyright (c) 2018 Acta Médica Costarricense
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Los autores que publican en la revista Acta Médica Costarricense pueden distribuir, copiar, remezclar, retocar, leer, descargar, imprimir, buscar y crear a partir de su obra de modo no comercial, indicando los créditos a la revista y sus autores y compartir su obra en las mismas condiciones. Para ello se aplica la licencia Creative Commons Reconocimiento-NoComercial-CompartirIgual 4.0 Internacional(CC BY-NC-SA 4.0)
