SciELO - Scientific Electronic Library Online

 
vol.60 issue1Severe neutropenia induced by propylthiuracilIntrathecal drug delivery system for medically refractory cancer pain treatment author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand

Journal

Article

Indicators

Related links

  • Have no similar articlesSimilars in SciELO

Share


Acta Médica Costarricense

On-line version ISSN 0001-6002Print version ISSN 0001-6012

Abstract

MORA-SEGURA, Esteban; ORELLANA-SOTO, Pablo; VEGA-SANCHEZ, Olga  and  MOYA-SANCHO, Eduardo. The use of progressive preoperative pneumoperitoneum as treatment in giant abdominal wall hernia. Acta méd. costarric [online]. 2018, vol.60, n.1, pp.48-52. ISSN 0001-6002.

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.

Keywords : progressive pneumoperitoneum; giant hernia; loss of abdominal domain; abdominal wall; Goñi Moreno.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )