Progressive pneumoperitoneum in the management of giant incisional hernias: A study of 41 patients

M. W. Caldironi, M. Romano, F. Bozza, A. M. Pluchinotta, M. R. Pelizzo, A. Toniato, R. Ranzato

Research output: Contribution to journalArticlepeer-review

Abstract

Forty-one patients (17 men and 24 women) were treated with progressive pneumoperitoneum before repair of giant incisional hernias. The pneumoperitoneum was induced using nitrous oxide gas and a laparoscopic insufflator, and was topped up every other day for a mean of 5.5 days with a total injection of 23.2 litres of nitrous oxide. The pneumoperitoneum was well tolerated in 30 patients, caused a mild temporary pain in 10 patients and a sharp pain in one patient; no serious side-effects occurred. All the patients underwent surgery to repair their hernias, 40 patients were available for follow-up for a mean of 25.3 months, only two hernias recurred both within 4 months of the operation.

Original languageEnglish
Pages (from-to)306-307
Number of pages2
JournalBritish Journal of Surgery
Volume77
Issue number3
Publication statusPublished - 1990

Keywords

  • hernia
  • pneumoperitoneum

ASJC Scopus subject areas

  • Surgery

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