| Autor: |
P J, Luder, B G, Haller, P, Gertsch, L H, Blumgart, J P, Lerut |
| Jazyk: |
němčina |
| Rok vydání: |
1990 |
| Předmět: |
|
| Zdroj: |
Helvetica chirurgica acta. 56(6) |
| ISSN: |
0018-0181 |
| Popis: |
Fourteen patients with giant abdominal hernias were treated at our institution from 1985-1989. In all cases the hernial orifice was at least 20 x 20 cm, and the hernia had at least a size of a child's head. In 11 cases a progressive preoperative pneumoperitoneum of 10-14 liters over 14-21 days was performed. This procedure was initially done in hospital and then on an outpatient basis. In 13 patients the hernia was repaired using a retromuscular/preperitoneal Mersilen-mesh fixed subcutaneously. In one patient the hernia could be repaired with a Mayo type repair after preparation with a pneumoperitoneum. Postoperative problems were minimal, and no recurrence has so far been observed after a follow-up period of 5 to 44 months. By the combination of preoperative pneumoperitoneum and a retromuscular Mersilen-mesh even giant abdominal hernias in polymorbid patients can be repaired. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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