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Early preoperative progressive pneumoperitoneum for a symptomatic giant abdominal incisional hernia.
Polanía-Sandoval, Camilo A; Velandia-Sánchez, Alejandro; Pérez-Rivera, Carlos J; Garcia-Mendez, Juan Pablo; Casas-Jaramillo, Felipe; Cabrera-Rivera, Paulo A.
Afiliação
  • Polanía-Sandoval CA; General Surgery Research Group, Fundación Cardioinfantil-Instituto de Cardiología, Bogotá, Colombia; Universidad del Rosario, School of Medicine and Health Sciences, Bogotá, Colombia.
  • Velandia-Sánchez A; General Surgery Research Group, Fundación Cardioinfantil-Instituto de Cardiología, Bogotá, Colombia; Universidad del Rosario, School of Medicine and Health Sciences, Bogotá, Colombia.
  • Pérez-Rivera CJ; General Surgery Research Group, Fundación Cardioinfantil-Instituto de Cardiología, Bogotá, Colombia. Electronic address: cjperezrivera@gmail.com.
  • Garcia-Mendez JP; General Surgery Research Group, Fundación Cardioinfantil-Instituto de Cardiología, Bogotá, Colombia; Universidad del Rosario, School of Medicine and Health Sciences, Bogotá, Colombia.
  • Casas-Jaramillo F; General Surgery Research Group, Fundación Cardioinfantil-Instituto de Cardiología, Bogotá, Colombia; Universidad del Rosario, School of Medicine and Health Sciences, Bogotá, Colombia.
  • Cabrera-Rivera PA; General Surgery Research Group, Fundación Cardioinfantil-Instituto de Cardiología, Bogotá, Colombia; Universidad del Rosario, School of Medicine and Health Sciences, Bogotá, Colombia.
Int J Surg Case Rep ; 94: 107028, 2022 May.
Article em En | MEDLINE | ID: mdl-35427889
INTRODUCTION AND IMPORTANCE: Early preoperative progressive pneumoperitoneum (PPP) is a technique that helps large eventrations with loss of domain to reintroduce protruded organs. However, a standardized technique has not been developed. This technique has been proved in elective patients, but the evidence is scarce in patients with a high risk of incarceration/strangulation. CLINICAL FINDINGS AND INVESTIGATIONS: We present a 61-year-old patient with history of a thoracoabdominal aneurysm repair, developed a massive incisional hernia with loss of domain. At admission, he presented with abdominal pain and inability to reduce the hernia by himself, however it reduced after clinical examination. Aortic syndromes were excluded. INTERVENTIONS AND OUTCOME: After a multidisciplinary meeting, early PPP was initially performed. Later he was taken to surgery and admitted in the ICU to prevent abdominal hypertension. Medical complications resolved within 14 days. The patient did not report long-term complications. RELEVANCE AND IMPACT: PPP is a technique that pursues the prevention of abdominal hypertension syndrome in patients with large hernias with loss of domain electively. For patients with high risk of hernia complications, the evidence is limited regarding the applicability of early PPP. A multidisciplinary team can improve decision making and therefore reduce the risk of long-term complications. We show a case where PPP was performed in an acute painful, reducible hernia with a high risk of incarceration, showing that this approach can be an option for acutely ill patients.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Diagnostic_studies / Prognostic_studies Idioma: En Revista: Int J Surg Case Rep Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Colômbia País de publicação: Holanda
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Diagnostic_studies / Prognostic_studies Idioma: En Revista: Int J Surg Case Rep Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Colômbia País de publicação: Holanda