INTRODUCTION: Progressive preoperative pneumoperitoneum (PPP) is used to prepare incisional hernias with loss of domain (IHLD) operations. The aim of the present study was to analyze the effect of PPP on peritoneal volume [measured using a new computed tomography (CT)-based method] and respiratory function. METHODS: From July 2004 to July 2008, 19 patients were included in a prospective, observational study. The volumes of the incisional hernia (VIH), the abdominal cavity (VAC), the total peritoneal content (VP) and the VIH/VP ratio were measured before and after PPP using abdominal CT scan data. Spirometric parameters were measured before and after PPP, and postoperative clinical data were evaluated. RESULTS: Before and after PPP, the mean VIH was 1,420 cc and 2,110 cc (P < 0.01), and the mean VAC was 9,083 cc and 11,104 cc (P < 0.01). The VAC increased by 2,021 cc (P < 0.01) and was greater than the mean VIH before PPP. After PPP, the spirometric measurements revealed a restrictive syndrome. The overall postoperative morbidity rate was 37%. CONCLUSIONS: PPP increased the hernia and abdominal volumes. PPP induced a progressive, restrictive syndrome.
INTRODUCTION: Progressive preoperative pneumoperitoneum (PPP) is used to prepare incisional hernias with loss of domain (IHLD) operations. The aim of the present study was to analyze the effect of PPP on peritoneal volume [measured using a new computed tomography (CT)-based method] and respiratory function. METHODS: From July 2004 to July 2008, 19 patients were included in a prospective, observational study. The volumes of the incisional hernia (VIH), the abdominal cavity (VAC), the total peritoneal content (VP) and the VIH/VP ratio were measured before and after PPP using abdominal CT scan data. Spirometric parameters were measured before and after PPP, and postoperative clinical data were evaluated. RESULTS: Before and after PPP, the mean VIH was 1,420 cc and 2,110 cc (P < 0.01), and the mean VAC was 9,083 cc and 11,104 cc (P < 0.01). The VAC increased by 2,021 cc (P < 0.01) and was greater than the mean VIH before PPP. After PPP, the spirometric measurements revealed a restrictive syndrome. The overall postoperative morbidity rate was 37%. CONCLUSIONS: PPP increased the hernia and abdominal volumes. PPP induced a progressive, restrictive syndrome.
Authors: S J Wigmore; D N Redhead; X J Yan; J Casey; K Madhavan; C H Dejong; E J Currie; O J Garden Journal: Ann Surg Date: 2001-02 Impact factor: 12.969
Authors: Omar Rodriguez-Acevedo; Kristen E Elstner; Anita S W Jacombs; John W Read; Rodrigo Tomazini Martins; Fernando Arduini; Michael Wehrhahm; Colette Craft; Peter H Cosman; Anthony N Dardano; Nabeel Ibrahim Journal: Surg Endosc Date: 2017-07-21 Impact factor: 4.584
Authors: E B Deerenberg; L Timmermans; D P Hogerzeil; J C Slieker; P H C Eilers; J Jeekel; J F Lange Journal: Hernia Date: 2014-11-08 Impact factor: 4.739
Authors: J Bueno-Lledó; A Torregrosa; N Ballester; O Carreño; F Carbonell; P G Pastor; J Pamies; V Cortés; S Bonafé; J Iserte Journal: Hernia Date: 2017-01-25 Impact factor: 4.739
Authors: F K Azar; T C Crawford; K E Poruk; N Farrow; P Cornell; O Nadra; S C Azoury; K C Soares; C M Cooney; F E Eckhauser Journal: Hernia Date: 2017-02-08 Impact factor: 4.739
Authors: Y Yurtkap; M M J van Rooijen; S Roels; J M L Bosmans; O Uyttebroek; J F Lange; F Berrevoet Journal: Hernia Date: 2020-06-03 Impact factor: 4.739
Authors: T R Ibarra-Hurtado; C M Nuño-Guzmán; A G Miranda-Díaz; R Troyo-Sanromán; R Navarro-Ibarra; L Bravo-Cuéllar Journal: Hernia Date: 2014-07-18 Impact factor: 4.739
Authors: Kristen E Elstner; John W Read; Omar Rodriguez-Acevedo; Kevin Ho-Shon; John Magnussen; Nabeel Ibrahim Journal: Surg Endosc Date: 2016-08-29 Impact factor: 4.584