Gigant inguinoscrotal hernia - case report
DOI:
https://doi.org/10.5902/2236583483692Keywords:
Inguinal Hernia, Pneumoperitoneum, Abdominal Compartimental Syndrome, HernioplastyAbstract
Large inguinal hernias are characterized by loss of domain in the abdominal cavity and the reduction of the content may result in abdominal hypertension characterized as compartment syndrome. The surgical correction
of this pathologies represent a chalenge by raised relapse index and local complications. The induction of preoperative progressive pneumoperitoneum (PPP) for surgical correction of a giant hernia in the inguinal region allowed
the return of the contents of the hernial sac to the abdominal cavity through an intraperitoneal catheter placement and subsequent room air insufflation.
A CT scan has been done to assess the relationship between the volume of the herniated content and the capacity of the abdominal cavity before and after pneumoperitoneum sessions. The present work related PPP technique
as an adjuvant to surgical correction by Lichtenstein’s technique, without consequente elevation of the intracavitary pressure, demonstrating the security and effectivenes of this methodo.
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