USO DO PNEUMOPERITÔNIO NO PRE-OPERATÓRIO DE HERNIA INCISIONAL GIGANTE: um relato de caso

Abstract

Massive incisional hernia with loss of abdominal domain is a surgical challenge due to a high potential of complications related to this repair witch the main problem is abdominal compartmental syndrome caractherized by abdominal hypertension associated to low venous return, cardiac debit, diuresis and the decrease of respiratory standard that could be lethal. To avoid this complication Goñi-Moreno describe a technique that uses preoperative progressive pneumoperitoneum to treat patients with abdominal-wall hernias. In this related case we have treated this giant ventral hernia with loss of abdominal domain with pneumoperitoneum which was a successful surgical procedure without any early or late complication. This study evaluates the efficiency of preoperative progressive pneumoperitoneum to permit the abdominal cavity to get adapted to the giant incisional hernia with loss of domain and reduct the incidence of compartimental syndrome. We conclude that the surgical technique of pneumoperitoneum is safe and effective and we suggest to increase the studies to approach this surgical technique.