Repair of Massive Abdominal Wall Defects: Combined Use of Pneumoperitoneum and Marlex Mesh

Cady, Blake; Brooke-Cowden, Geoffrey L.

doi:10.1016/s0039-6109(16)40931-x

Cited by 35 publications

(10 citation statements)

References 13 publications

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“…Following the loss of potentially fatal heart and respiratory failure to reduce the huge hernia, and pulmonary embolism can develop And due to a' domain' rights' of the sharp increase in the height of the diaphragm into the abdominal cavity, the pressure inside the abdomen. 18 In our study respiratory complications reported in 3(10%) patients.…”

Section: Giant Inguinal Hernia Divided Into 4 Degrees Bymentioning

confidence: 44%

Giant Inguinal Hernia; Complications and Their Management in Patients

Memon

Pathan

Bux³

2016

TPMJ

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Methodology: This study consisted of 30 patients of giant inguinoscrotal hernias. Detailed History was taken from all the patients with special regard to the inguinoscrotal swelling. Detailed Clinical examination of the patient was done .Site of swelling was especially examined for assessment of three grades. Grade-I means hernia reaching upto middle of thigh, Grade-II means inguinoscrotal contents reaching upto knee joint and Grade-III means contents going below knee level. All data was entered in a specified proforma designed for this purpose. Inclusion criteria were all diagnosed patients of giant inguinoscrotal hernia on the basis of history, clinical examination were included in this study. Exclusion criteria included patients unfit for surgery, patients below age of 12 years, patients with severe co-morbidity and morbid obese patients. Results: 30 patients included in this study. There was wide variation of age ranging from a minimum of 30 years to 70 years , mean age was 46.28+7.20 years. The patients presented with more common in right side 21(70%) cases and left side 9(30%) cases. Patients presented with grade-I 11(36.66%) cases, grade-II 9(30%) cases, grade-III 7(23.33%) cases and grade IV 3(10%) cases. Giant inguinal hernia were operated Orchidectomy and hernioplasty 12(40%) cases, followed by Debulkation of contents and hernioplasty 9(30%) cases and Gradual Pneumoperitoneum and hernioplasty 4(13.33%) cases. Complications seen in this study was Respiratory in 3(10%) patients, Abdominal compartmental syndrome in 1(3.33%) patients, Paralytic Ileus in 2(6.66%) patients and Wound Infections in 4(13.33%). Conclusion: In conclusion our study revealed it is commonly to live in our population due to ignorance of hernia poverty in remote areas and lack of knowledge of disease complications.

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Section: Giant Inguinal Hernia Divided Into 4 Degrees Bymentioning

confidence: 44%

Giant Inguinal Hernia; Complications and Their Management in Patients

Memon

Pathan

Bux³

2016

TPMJ

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“…15,16 Inguinal hernia surgery, normalization of life with your plastic surgeon and a general surgeon had a significant impact on patient outcomes may require close cooperation between them. 17,18 In present study the giant inguinal hernia were commonly operated Orchidectomy and hernioplasty 12(40%) cases, followed by Debulkation of contents and hernioplasty 9(30%) cases and Gradual Pneumoperitoneum and hernioplasty 4(13.33%) cases.…”

Section: Discussionmentioning

confidence: 55%

Giant Inguinal Hernia

Memon

Pathan

Bux³

2016

TPMJ

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Objectives: To determine the complications and their management in patientswith giant inguinal hernia. Place and Duration of Study: This study was carried out in inSurgical Unit-IV, Liaquat University Hospital Jamshoro, from October 2013 to December 2015.Methodology: This study consisted of 30 patients of giant inguinoscrotal hernias. DetailedHistory was taken from all the patients with special regard to the inguinoscrotal swelling.Detailed Clinical examination of the patient was done .Site of swelling was especially examinedfor assessment of three grades. Grade–I means hernia reaching upto middle of thigh, Grade-IImeans inguinoscrotal contents reaching upto knee joint and Grade-III means contents goingbelow knee level. All data was entered in a specified proforma designed for this purpose.Inclusion criteria were all diagnosed patients of giant inguinoscrotal hernia on the basis ofhistory, clinical examination were included in this study. Exclusion criteria included patientsunfit for surgery, patients below age of 12 years, patients with severe co-morbidity and morbidobese patients. Results: 30 patients included in this study. There was wide variation of ageranging from a minimum of 30 years to 70 years , mean age was 46.28+7.20 years. The patientspresented with more common in right side 21(70%) cases and left side 9(30%) cases. Patientspresented with grade-I 11(36.66%) cases, grade-II 9(30%) cases, grade-III 7(23.33%) cases andgrade IV 3(10%) cases. Giant inguinal hernia were operated Orchidectomy and hernioplasty12(40%) cases, followed by Debulkation of contents and hernioplasty 9(30%) cases andGradual Pneumoperitoneum and hernioplasty 4(13.33%) cases. Complications seen in thisstudy was Respiratory in 3(10%) patients, Abdominal compartmental syndrome in 1(3.33%)patients, Paralytic Ileus in 2(6.66%) patients and Wound Infections in 4(13.33%). Conclusion:In conclusion our study revealed it is commonly to live in our population due to ignorance ofhernia poverty in remote areas and lack of knowledge of disease complications.

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“…No obstante, cuando encontramos ocasionalmente un paciente con dichas características, el éxito del NPP es evidente, tal y como se refleja en numerosas series publicadas en los últimos años 11 .…”

Section: Discussionunclassified

Neumoperitoneo preoperatorio para el tratamiento de la hernia inguinal gigante: revisión de nuestra experiencia

Villach

Giner

Sanchis

et al. 2014

Revista Hispanoamericana de Hernia

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información del artículo Historia del artículo: Recibido el 13 de marzo de 2014 Aceptado el 23 de abril de 2014 On-line el 12 de junio de 2014 Palabras clave: Neumoperitoneo Hernia gigante Tratamiento protésico r e s u m e n Objetivo: Valoración de las posibles ventajas del neumoperitoneo preoperatorio en el manejo de las hernias inguinales gigantes. Material y métodos: Estudio prospectivo mediante el seguimiento de 2 casos clínicos de hernias inguinoescrotales gigantes que requirieron neumoperitoneo preoperatorio en nuestro centro, desde octubre de 2013 hasta marzo de 2014.Resultados: Durante los últimos 5 meses, en nuestro centro se han diagnosticado 2 hernias inguinoescrotales gigantes candidatas a neumoperitoneo preoperatorio. Se trataba de 2 varones con una edad media de 60.5 años (55-66). Ninguno presentaba clínica relevante, y acudieron a consultas externas derivados por otros especialistas. En uno de los pacientes la hernia era bilateral, y en el otro, unilateral. Como prueba de imagen preoperatoria se realizó una tomografía computarizada en ambos casos.Los pacientes ingresaron una semana antes de la intervención (rango: 6-8 días) para efectuar un neumoperitoneo preoperatorio mediante la colocación de aguja de Verres, con insuflación diaria de aire ambiente (entre 240-1 000 cc).En ambos casos se realizó como técnica de reparación una hernioplastia con abordaje posterior preperitoneal mediante laparotomía media. Destacó el íleo paralítico como complicación inmediata (2-4 días). La estancia media posoperatoria fue de 17.5 días (15-20 días).Se realizó un mes de seguimiento posquirúrgico, sin que se evidenciaran complicaciones.Únicamente habría que destacar la falta de reducción de tamaño de la bolsa escrotal.Conclusiones: El neumoperitoneo progresivo preoperatorio favorece la reparación de hernias inguinoescrotales gigantes con pérdida de derecho a domicilio. Se trata de un procedimiento seguro y reproducible, con bajo índice de complicaciones y alta tolerabilidad por parte del paciente.

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Repair of Massive Abdominal Wall Defects: Combined Use of Pneumoperitoneum and Marlex Mesh

Cited by 35 publications

References 13 publications

Giant Inguinal Hernia; Complications and Their Management in Patients

Giant Inguinal Hernia; Complications and Their Management in Patients

Giant Inguinal Hernia

Neumoperitoneo preoperatorio para el tratamiento de la hernia inguinal gigante: revisión de nuestra experiencia

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