✦ LIBER ✦

Progressive pneumoperitoneum in the management of giant incisional hernias: A study of 41 patients

✍ Scribed by M. W. Caldironi; M. Romano; F. Bozza; Dr. A. M. Pluchinotta; M. R. Pelizzo; A. Toniato; R. Ranzato

Publisher: John Wiley and Sons
Year: 1990
Tongue: English
Weight: 257 KB
Volume: 77
Category: Article
ISSN: 0007-1323
DOI: 10.1002/bjs.1800770322

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✦ Synopsis

Progressive pneumoperitoneum in the management of giant incisional hernias: a study of 41 patients

Forty-one patients ( 1 7 men and 24 women) were treated with progressive pneumoperitoneum before repair of giant incisional hernias. The pneumoperitoneum was induced using nitrous oxide gas and a laparoscopic insufflator, and was topped up every other day for a mean of 5.5 days with a total injection of 23.2 litres of nitrous oxide. The pneumoperitoneum was well tolerated in 30 patients, caused a mild temporary pain in 10 patients and a sharp pain in one patient; no serious side-effects occurred. All the patients underwent surgery to repair their hernias, 40 patients were available f o r follow-up for a mean of 25.3 months, only two hernias recurred both within 4 months of the operation.

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