Progressive Preoperative Pneumoperitoneum (PPP) as an Adjunct for Surgery of Hernias with Loss of Domain
V. Oprea, O. Matei, D. Gheorghescu, D. Leuca, F. Buia, M. Rosianu, M. DincaOriginal article, no. 5, 2014
Background: forced repair of a giant abdominal wall defect endwith unsatisfactory results despite development of prostheticsmaterials. The enlargement of abdominal wall dimensionscould be realized altogether other methods with the aid ofpneumo-peritoneum. The aim of the study is to evaluate earlyresults of the method used for patients with giant incisionalhernias.
Material and methods: between june 1998 - june 2013, 17patients (4 males) with giant abdominal wall defects (incisionaland inguinal hernias) were prepaired for radical surgery withpneumoperitoneum. Average age was 64.35 years. Wereevaluated the standard constants of the pulmonary function,blood gases, and intra-vesical pressure in 3 moments: before thefirst gas insuflation, 24 hours before surgery and in the 7th daypostoperatively.
Results: the method was free of accidents or incidents, nomortality was recorded. The respiratory function was significantlyincreased and also the intra-abdominal pressure.
Conclusion: our results suggest that the method of progressivepneumoperitoneum is safe, costless of choice for creating a clearcompatibility between the wall and abdominal content inpatients with giant abdominal wall defects. Also ensures a longterm and stable improvement of the respiratory function in all its components.
Material and methods: between june 1998 - june 2013, 17patients (4 males) with giant abdominal wall defects (incisionaland inguinal hernias) were prepaired for radical surgery withpneumoperitoneum. Average age was 64.35 years. Wereevaluated the standard constants of the pulmonary function,blood gases, and intra-vesical pressure in 3 moments: before thefirst gas insuflation, 24 hours before surgery and in the 7th daypostoperatively.
Results: the method was free of accidents or incidents, nomortality was recorded. The respiratory function was significantlyincreased and also the intra-abdominal pressure.
Conclusion: our results suggest that the method of progressivepneumoperitoneum is safe, costless of choice for creating a clearcompatibility between the wall and abdominal content inpatients with giant abdominal wall defects. Also ensures a longterm and stable improvement of the respiratory function in all its components.
