Neumoperitoneo en el tratamiento de hernias gigantes / Use of pneumoperitoneum in the repair of giant abdominal hernias
Cir. Esp. (Ed. impr.)
; 80(4): 220-223, oct. 2006. ilus
Article
in Es
| IBECS
| ID: ibc-048964
Responsible library:
ES1.1
Localization: ES1.1 - BNCS
RESUMEN
El uso del neumoperitoneo preoperatorio progresivo ha demostrado ser una técnica útil y eficaz para el tratamiento de grandes defectos de la pared abdominal. Está indicado en hernias gigantes, pacientes de alto riesgo quirúrgico y grandes defectos recidivados. Se describe a 4 pacientes en los que se empleó neumoperitoneo progresivo realizado bajo anestesia local y sedación entre 1 y 3 semanas antes de la cirugía, seguido del tratamiento del defecto herniario con malla preperitoneal. Dos pacientes en régimen ambulatorio y 2 hospitalizados. No se detectaron complicaciones postoperatorias. Durante el seguimiento (10 meses-11 años) no hubo evidencias de recidiva (AU)
ABSTRACT
The preoperative use of progressive pneumoperitoneum has been demonstrated to be safe and effective in the treatment of large hernias. The indications for this technique include massive hernias, hernias in patients with high surgical risk, and large recurrent hernias. We describe four patients in whom progressive pneumoperitoneum was carried out under local anesthesia and sedation between 1 and 3 weeks before surgery. All four hernias were closed with a preperitoneal mesh. Insufflation was performed on an inpatient basis in two patients and in the ambulatory setting in one. No postoperative complications were detected. No evidence of recurrence was found during follow-up (10 months-11 years) (AU)
Search on Google
Collection:
National databases
/
Spain
Database:
IBECS
Main subject:
Pneumoperitoneum
/
Postoperative Complications
/
Tomography, Emission-Computed
/
Diaphragmatic Eventration
/
Hernia, Inguinal
/
Hernia, Umbilical
Type of study:
Diagnostic study
Limits:
Female
/
Humans
/
Male
Language:
Spanish
Journal:
Cir. Esp. (Ed. impr.)
Year:
2006
Document type:
Article
Institution/Affiliation country:
Hospital Universitario Getafe/España