Introduction:

In 1940, the progressive preoperative pneumoperitoneum was described in order to increase abdominal cavity volume progressively and herniated visceral reintroduction, decreasing complications in the immediate postoperative period in patients with hernias with loss of domain.

Material and methods:

We evaluated patients over a period of 18 months with giant incisional hernias or with loss of domain using a double lumen intraperitoneal catheter was placed for insufflation of ambient air and perform the preoperative pneumoperitoneum during a period of seven to 17 days, and they were programmed for hernioplasty, analyzing pre-, trans- and postoperative variables.

Results:

Nine patients (eight women, one man) met. On average, 800 cm3 ambient air was blown. A loss of pneumoperitoneum due to leakage, however closure was achieved. The pneumoperitoneum allowed the reduction of the viscera to the cavity in all cases.

Conclusions:

The use of the pneumoperitoneum allowed the adequate closure of the hernia defects, in no case we had data of compartmental syndrome. We were able to obtain a new alternative to the preoperative management of hernia pathology, such as the loss of mastery and giant defects of the abdominal wall.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )