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Revista del Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo
Print version ISSN 2225-5109On-line version ISSN 2227-4731
Abstract
GUEVARA-ESPEJO, Jonah Salomón; ABANTO-VALENCIA, Micky Stalin; NURENA-RAMIREZ, Jhon Edinson and VILLANUEVA-DE LA CRUZ, Jean Pierre. Progressive preoperative pneumoperitoneum and components separation in incisional hernia with loss of domain. A case study report. Rev. Cuerpo Med. HNAAA [online]. 2022, vol.15, n.1, pp.130-134. Epub Mar 31, 2022. ISSN 2225-5109. http://dx.doi.org/10.35434/rcmhnaaa.2022.151.873.
Background:
A hernia with loss of domain has a hernia sac content of 50% or more than the content of the abdominal cavity, which leads to local and systemic effects.
Report case:
The case of a patient with an incisional hernia with loss of domain and 30 years of evolution is presented, she underwent preoperative pneumoperitoneum and during surgery, anterior component separation was performed to avoid tension in the closure of the hernia defect.
Conclusion:
Preoperative progressive neumoperitoneum is a recommended method in the management of patients with giant hernias and loss of domain, because it is low cost, safe and easy to perform and avoids the possible complications that the closure of the defect with tension entails.
Keywords : incisional hernia; hernia with loss of domain; preoperative progressive pneumoperitoneum; component separation.
