Role of progressive preoperative pneumoperitoneum in the management of giant inguinoscrotal hernia-case report

Sabari Girieasen M.; Vijayalakshmi V.; Mohamed Farook M.

doi:10.18203/2349-2902.isj20230275

Authors

Sabari Girieasen M. Institute of General Surgery, MMC, Chennai, Tamil Nadu, India https://orcid.org/0000-0001-7185-7077
Vijayalakshmi V. Institute of General Surgery, MMC, Chennai, Tamil Nadu, India
Mohamed Farook M. Institute of General Surgery, MMC, Chennai, Tamil Nadu, India

DOI:

https://doi.org/10.18203/2349-2902.isj20230275

Keywords:

Giant inguinoscrotal hernia, Hernia with loss of domain, Progressive preoperative pneumoperitoneum, PPP

Abstract

Managing a giant inguinal hernia/ incisional/ ventral hernia had its own complications. The overtime adaptation of peritoneal cavity to a lower abdominal pressure was one of the most important factors responsible for these complications. Surgical repair is also quite a challenge because of the massive contents in sac, adhesions and concomitant fibrosis. In order to reduce the complications like intra-abdominal hypertension, cardiorespiratory problems and to increase the abdominal wall compliance, many techniques were described. Progressive preoperative pneumoperitoneum is a well described technique for the repair of giant inguinal hernia/ incisional/ ventral hernia with loss of domain which helps in conditioning the abdominal wall in the preoperative period, increasing the likelihood of primary closure and decreasing the incidence of compartment syndrome.

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