COMPLEX INCISIONAL HERNIAS - CASE REPORT TREATED BY PERFORMING PRE-OPERATIVE PROGRESSIVE PNEUMOPERITONEUM

• DOI: 10.22533/at.ed.1593922308119

• Palavras-chave: progressive preoperative pneumoperitoneum (PPP), complex incisional hernia, loss of home.

• Keywords: progressive preoperative pneumoperitoneum (PPP), complex incisional hernia, loss of home.

• Abstract:

  Despite the increase in the number of minimally invasive surgeries, with a consequent reduction in incisional hernias, laparotomies and accessory incisions to remove parts maintain a high rate of incisional hernias, ranging between 15 and 20%. In this context, as a result of better surgical results and survival of patients with extensive oncological resections, abdominal vascular diseases and severe traumas, we see patients developing complex hernias
  Among the criteria chosen to identify a hernia as complex, loss of home is one of the most frequent Omar Rodriguez-Acevedo 2017.
  For the treatment of these large hernias, the progressive preoperative pneumoperitoneum (PPP) technique described by Goni Moreno in 1940 can be very useful, better preparing the patient to receive the contents of the hernia back into the abdominal cavity, minimizing the chance of developing intra-abdominal hypertension.