scholarly journals GIANT INCISIONAL HERNIA WITH LOSS OF DOMAIN, TREATED SUCCESSFULLY WITH PRIMARY HERNIA REPAIR, SLEEVE GASTRECTOMY, OMENTECTOMY AND SUBTOTAL COLECTOMY.

2019 ◽  
Vol 7 (5) ◽  
pp. 240-244
Author(s):  
Faiz Tuma ◽  
Keyword(s):  
Sleeve Gastrectomy ◽  
Incisional Hernia ◽  
Hernia Repair ◽  
Subtotal Colectomy ◽  
Loss Of Domain ◽  
Primary Hernia

Preoperative Progressive Pneumoperitoneum for Incisional Hernia Repair with Loss of Domain

2018 ◽  
Vol 84 (5) ◽  
pp. 748-749
Author(s):  
Stephanie Holzmer ◽  
Andrea Decino ◽  
Micheala Mccarthy ◽  
Chris Okwuosa ◽  
Robert J. Fitzgibbons
Keyword(s):  
Incisional Hernia ◽  
Hernia Repair ◽  
Incisional Hernia Repair ◽  
Loss Of Domain ◽  
Preoperative Progressive Pneumoperitoneum

Risk Factors for Surgical Site Occurrence or Infection and Recurrence After Incisional Hernia Repair in Abdominal Transplant Population

2021 ◽  
Vol 53 (2) ◽  
pp. 762-767
Author(s):  
Fareed Cheema ◽  
Oya Andacoglu ◽  
Li-Ching Huang ◽  
Sharon E. Phillips ◽  
Flavio Malcher
Keyword(s):  
Risk Factors ◽  
Incisional Hernia ◽  
Hernia Repair ◽  
Incisional Hernia Repair

Progressive Preoperative Pneumoperitoneum for Hernias with Loss of Domain

2009 ◽  
Vol 75 (6) ◽  
pp. 504-509 ◽  
Author(s):  
R. Stephen Mcadory ◽  
William S. Cobb ◽  
Alfredo M. Carbonell
Keyword(s):  
Hernia Repair ◽  
Operative Time ◽  
Vena Cava ◽  
Tissue Expander ◽  
Mesh Size ◽  
Hernia Recurrence ◽  
Acceptable Risk ◽  
Loss Of Domain ◽  
Vena Cava Filters ◽  
Port Infection

Acting as a pneumatic tissue expander, progressive preoperative pneumoperitoneum (PPP) pressurizes the abdomen to prepare patients with giant hernias and loss of domain for hernia repair. We review our experience with PPP. Between 2006 and 2008, a prospective hernia database revealed nine patients who underwent PPP prior to hernia repair. Mean patient age was 54 years (41-68) and mean BMI was 31.3 kg/m2 (25.2-36.5). Patients had prophylactic vena cava filters and intraperitoneal catheters placed. Over a mean 22.4 days (7-64), patients received 7.6 (3-13) injections of air. PPP complications included death from pulmonary mycetoma (1), deep venous thrombosis and acute renal failure (1), port infection (1), kinked catheter requiring reoperation (1). Seven patients underwent successful hernia repair; open ventral (6) and laparoscopic inguinal (1). Defect size averaged 387 cm2 (110-980) with a mesh size of 420 cm2 (180-1200). Operative time averaged 256 minutes (175-330) with a mean blood loss of 157 ml (50-500). Post-hernia repair length of stay was 10.3 days (4-22). Hernia repair complications included ventricular tachycardia (1) and hernia recurrence (1). PPP has an acceptable risk, and for patients with large hernias and loss of domain, it may be a useful adjunct prior to definitive hernia repair.

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