Preoperative progressive pneumoperitoneum for a giant incisional hernia: report of a case with a rare complication

• Autor(a) principal: Vinicius Rodrigues Tarantonunes
• Data de Publicação: 2016
• Outros Autores: Ingrid Bremer Toledo, Rafael Calvão Barbuto, José Renan Cunha-melo, Mario Pastore Neto, Carla Jorge Machado, Galileu Chagas Lourenço, Guilherme Nogueira Pena, Marcello Fonseca Marino, David Silveira Farias
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Institucional da UFMG
• Texto Completo: http://hdl.handle.net/1843/54426; https://orcid.org/0000-0001-6488-734X
• topic: Hérnia Incisional; Pneumoperitônio Artificial; Enfisema Mediastínico; Hérnia Incisional; Cuidados Pré-Operatórios; Herniorrafia; Hérnia Incisional; Pneumoperitônio Artificial; Enfisema Mediastínico; Hérnia Incisional; Cuidados Pré-Operatórios; Herniorrafia

In patients with giant incisional hernias, many anatomical and physiological changes turn hernia repair into quite a challenge. The possibility of developing complications as abdominal compartment syndrome after hernioplasty has prompted surgeons to seek for technical options. A tempting alternative is to induce progressive preoperative pneumoperitoneum (PPP) aiming to adapt the organism to an increase in the abdominal content. We describe the case of a patient with giant incisional hernia submitted to PPP complicated by symptomatic pneumomediastinum. Despite being frequently well tolerated, it is important to make a point that the induction of PPP may result in severe complications. Keywords: pneumoperitoneum, artificial; mediastinal emphysema; incisional hernia; preoperative care; herniorrhaphy.