Application of abdominal computerized tomography in preoperative progressive pneumoperitoneum before hernia repair in patients with large incisional hernia

doi:10.3877/cma.j.issn.1674-392X.2018.02.008

Abstract

Abstract:

Objective

To investigate the applicability of abdominal computerized tomography (ACT) in preoperative progressive pneumoperitoneum (PPP) before hernia repair.

Method

We enrolled 10 patients suffered large incisional hernia in the First People's Hospital of Zaoyang from January 2011 to January 2014. The patients were all received abdominal CT examination. The upper/cranial, lower/caudal and anteroposterior diameters were measured via CT images, then the volumes of hernia and abdomen were calculated according to formula for the volume of an ellipsoid, and the hernia/abdomen volume ratio was calculated. In total, there were 6 patients whose hernia/abdomen volume ratio >25% received PPP treatment before hernia repair.

Results

In the 3-years follow-up, there were 1 wound infection, 1 hernia recurrence and 1 death due to lung failure. There were no complications related to PPP catheter implantation surgery or high abdominal pressure.

Conclusion

ACT is a useful tool in the treatment of large incisional hernia.

Key words: Large incisional hernia, Preoperative progressive pneumoperitoneum, Hernia repair, Abdominal computerized tomography

Mingjun Wan, Lizhang Lei, Wencai Zhai, Bo Ye, Guangming Li. Application of abdominal computerized tomography in preoperative progressive pneumoperitoneum before hernia repair in patients with large incisional hernia[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2018, 12(02): 113-115.

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https://zhshfbwkzz.cma-cmc.com.cn/EN/Y2018/V12/I02/113

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