Use of pneumoperitoneum in the repair of giant abdominal hernias

The preoperative use of progressive pneumoperitoneum has been demonstrated to be safe and effective in the treatment of large hernias. The indications for this technique include massive hernias, hernias in patients with high surgical risk, and large recurrent hernias. We describe four patients in wh...

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Veröffentlicht in:	Cirugia Española 2006-10, Vol.80 (4), p.220
Hauptverfasser:	Rodríguez Ortega, María, Fernández Lobato, Rosa, Garaulet González, Paloma, Ríos Blanco, Raquel, Jiménez Carneros, Virginia, Limones Esteban, Manuel
Format:	Artikel
Sprache:	spa
Schlagworte:	Aged Female Hernia, Abdominal - diagnostic imaging Hernia, Abdominal - surgery Humans Male Middle Aged Pneumoperitoneum, Artificial - adverse effects Pneumoperitoneum, Artificial - methods Postoperative Complications Preoperative Care Tomography, X-Ray Computed Treatment Outcome
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creator	Rodríguez Ortega, María Fernández Lobato, Rosa Garaulet González, Paloma Ríos Blanco, Raquel Jiménez Carneros, Virginia Limones Esteban, Manuel
description	The preoperative use of progressive pneumoperitoneum has been demonstrated to be safe and effective in the treatment of large hernias. The indications for this technique include massive hernias, hernias in patients with high surgical risk, and large recurrent hernias. We describe four patients in whom progressive pneumoperitoneum was carried out under local anesthesia and sedation between 1 and 3 weeks before surgery. All four hernias were closed with a preperitoneal mesh. Insufflation was performed on an inpatient basis in two patients and in the ambulatory setting in one. No postoperative complications were detected. No evidence of recurrence was found during follow-up (10 months-11 years).
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source	MEDLINE; Elsevier ScienceDirect Journals
subjects	Aged Female Hernia, Abdominal - diagnostic imaging Hernia, Abdominal - surgery Humans Male Middle Aged Pneumoperitoneum, Artificial - adverse effects Pneumoperitoneum, Artificial - methods Postoperative Complications Preoperative Care Tomography, X-Ray Computed Treatment Outcome
title	Use of pneumoperitoneum in the repair of giant abdominal hernias
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