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

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.

References

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Published

2023-01-27

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Section

Case Reports