Management of complex hernias with loss of domain using daily and fractioned preoperative progressive pneumoperitoneum: a retrospective single-center cohort study
| Autor: | Anderson Cançado, Vaner P S F Pinheiro, Carlos A B Silveira, Leonardo Cunha, Oto M S Neto |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
business.industry Incidence (epidemiology) Abdominal cavity 030230 surgery medicine.disease Single Center Ambient air Surgery 03 medical and health sciences Catheter 0302 clinical medicine medicine.anatomical_structure Pneumoperitoneum 030220 oncology & carcinogenesis medicine business Abdominal surgery Cohort study |
| Zdroj: | Hernia. 25:1499-1505 |
| ISSN: | 1248-9204 1265-4906 |
| DOI: | 10.1007/s10029-020-02298-0 |
| Popis: | The incidence of complex hernias with loss of domain (CHLD) has been increasing and the treatment of these cases may require auxiliary techniques in addition to surgery. This study aims to refine the progressive preoperative pneumoperitonium (PPP) in patients with CHLD, to achieve an increased in wall dimensions. Patients presented with a CHLD undergoing PPP protocol were analyzed between May 2017 and May 2019. Our PPP protocol was to use two daily insufflations of 1000 ml of ambient air during a period of 14 days. We compared the abdominal cavity volume (ACV), the hernial sac volume (HSV) and the volume ratio (VR), before and after our refined PPP. During our evaluation period, the protocol was performed on 16 patients. The mean age was 55.73 (± 12.87), and the mean BMI was 31.35 (± 7.33). The median of HSV was 2104.53 ml; Mean ACV was 6722.36 ml, and median of VR was 29.97% (27.46–34.38 IIQ). The averages were: daily volume of gas ± 1526.66 ml, total volume ± 17,350 ml, and the PPP period of ± 10.7 days. The increase in post-PPP ACV was 52.13% (p |
| Databáze: | OpenAIRE |
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