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Loss of Abdominal Domain

  • Marco Alban Garcia
Chapter

Abstract

The surgical resolution of giant hernias represents a challenge for abdominal wall surgeons. It is necessary to know the anatomical and physiological changes in the abdominal wall and abdominal cavity, which develop during the evolution of a giant hernia, in addition to the management of systemic and local changes, to avoid perioperative complications.

The success of surgery depends upon good methodology in the diagnosis, preoperative management with adjuvant techniques, surgical technique, and postoperative care. Also, the multidisciplinary management of these patients is indispensable. It is ideal that these patients be treated in hospitals with experience in the management of giant hernias.

There are several reasons why patients with hernias can develop giant defects: limited access to health, poor information, low sociocultural level, and delayed referral from primary care physicians.

Keywords

Loss of domain Giant hernia Complex hernia Pneumoperitoneum Botox 

Supplementary material

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Bibliography

  1. 1.
    Bittner R, Bingener-Casey J, Dietz U, Fabian M, Ferzli G, Fortelny R, Kockerling F, Kukleta J, LeBlanc K, Lomanto D, Misra M, Morales-Conde S, Ramshaw B, Reinpold W, Rim S, Rohr M, Schrittwieser R, Simon T, Smietanski M, Stechemesser B, Timoney M, Chowbey P. Guidelines for laparoscopic treatment of ventral and incisional abdominal wall hernias (International Endohernia Society [IEHS])—part I. Surg Endosc. 2014;28:2–29.CrossRefGoogle Scholar
  2. 2.
    Korenkov M, Paul A, Sauerland S, Neugebauer E, Arndt M, et al. Classification and surgical treatment of incisional hernia. Results of an experts’ meeting. Langenbecks Arch Surg. 2001;386:65–73.CrossRefGoogle Scholar
  3. 3.
    Muysoms FE, Miserez M, Berrevoet F, Campanelli G, Champault GG, Chelala E, Diet UA, Eker HH, El Nakadi I, Hauters P, Hidalgo Pascual M, Hoeferlin A, Klinge U, Montgomery A, Simmermacher RKJ, Simons MP, Śmietański M, Sommeling C, Tollens T, Vierendeels T, Kingsnorth A. Classification of primary and incisional abdominal wall hernias. Hernia. 2009;13:407–14.CrossRefGoogle Scholar
  4. 4.
    Trakarnsagna A, Chinswangwatanakul V, Methasate A, Swangsri J, Phalanusitthepha C, Parakonthun T, Taweerutchana V, Akaraviputh T. Giant inguinal hernia: report of a case and reviews of surgical techniques. Int J Surg Case Rep. 2014;5:868–72.CrossRefGoogle Scholar
  5. 5.
    Chevrel JP, Rath AM. Classification of incisional hernias of the abdominal wall. Hernia. 2000;4(1):7–11.CrossRefGoogle Scholar
  6. 6.
    Mason E. Pneumoperitoneum in giant hernia. In: Nyhus LM, Condon RE, editors. Hernia. 4th ed. Philadelphia: JB Lippincott; 1995. p. 515–24.Google Scholar
  7. 7.
    Kingsnorth AN, Sivarajasingham N, Wong S, Butler M. Open mesh repair of incisional hernias with significant loss of domain. Ann R Coll Surg Engl. 2004;86:363–6.CrossRefGoogle Scholar
  8. 8.
    Tanaka EY, Yoo JH, Rodrigues AJ Jr, Utiyama EM, Birolini D, Rasslan S. A computerized tomography scan method for calculating the hernia sac and abdominal cavity volume in complex large incisional hernia with loss of domain. Hernia. 2010;14:63–9.CrossRefGoogle Scholar
  9. 9.
    Trivellini G, Bagni CM, Sollini A, Senni M, et al. Repair of giant hernias using more prosthesis. Hernia. 2001;5:124–8.CrossRefGoogle Scholar
  10. 10.
    Munegato G, Grigoleto R, Brandolese R. Respiratory mechanics in abdominal compartment syndrome and large hernias of the abdominal wall. Hernia. 2000;4:282–5.CrossRefGoogle Scholar
  11. 11.
    Willis S, Schumpelick V. Use of pneumoperitoneum in the repair of giant hernias. Hernia. 2000;4:105–11.CrossRefGoogle Scholar
  12. 12.
    Mayagoitia JC, Suarez D, Arenas JC, Díaz de León V. Preoperative progressive pneumoperitoneum in patients with abdominal-wall hernias. Hernia. 2006;10:213–7.CrossRefGoogle Scholar
  13. 13.
    Stramwasser JR, Toledo JC, Solís JJS, García MA, Silva FP. Neumoperitoneo terapéutico preoperatorio en el tratamiento de la hernia incisional gigante. Reducción del volumen visceral como explicación fisiopatológica de sus beneficios. Revhipanoamhernia. 2014;2(2):41–7.Google Scholar
  14. 14.
    Mayagoitia JC. Hernias con pérdida de dominio. In: Mayagoitia JC, editor. Hernias de la pared abdominal. Tratamiento actual. 3a Edición. Editorial Alfil; 2015. p. 445–53.Google Scholar
  15. 15.
    Flament JB, Avisse C, Palot JP, Pluot M, Burde A, Rives J. Trophic ulcers in giant incisional hernias—pathogenesis and treatment. A report on 33 cases. Hernia. 1997;1:71–6.CrossRefGoogle Scholar
  16. 16.
    Brandolese R, Grigoletto R, Munegato G. The importance of measurement of respiratory mechanics during surgery of the abdominal wall. Hernia. 2000;4:197–201.CrossRefGoogle Scholar
  17. 17.
    Ramirez OM, Ruas E, Dellon AL. “Components separation” method for closure of abdominal-wall defects: an anatomic and clinical study. Plast Reconstr Surg. 1990;86:519–26.CrossRefGoogle Scholar
  18. 18.
    Novitsky YW, Elliott HL, Orenstein SB, Rosen MJ. Transversus abdominis muscle release: a novel approach to posterior component separation during complex abdominal wall reconstruction. Am J Surg. 2012;204(5):709–16.CrossRefGoogle Scholar
  19. 19.
    Cano CA, Yarade ME, Gutierres N. Las incisiones de descargas de Albanese en el cierre de defectos catastróficos. Rev Hispanoam Hernia. 2016;4(4):145–55.CrossRefGoogle Scholar
  20. 20.
    Tatay FC, Diana SB, Pastor PG, Gavara CG i, Valdelomar RB. New surgical technique in complex incisional hernias: Component Separation Technique (CST) with prosthesis and new muscle insertions. Cir Esp. 2009;86:87–93.CrossRefGoogle Scholar
  21. 21.
    Lowe JB, Garza JR, Browman JL, Rohrich RJ, Strodel WE. Endoscopically assisted component separation for closure of abdominal wall defects. Plast Reconstr Surg. 2000;105(2):720–9.CrossRefGoogle Scholar
  22. 22.
    Daes J, Daza JC. Separación endoscópica de componentes por abordaje subcutáneo, experiencia inicial. Rev Colomb Cir. 2014;29:18–24.Google Scholar
  23. 23.
    Dumont F, Fuks D, Verhaeghe P, Brehant O, Sabbagh C, Riboulot M, Yzet T, Regimbeau JM. Progressive pneumoperitoneum increases the length of abdominal muscles. Hernia. 2009;13(2):183–7.CrossRefGoogle Scholar
  24. 24.
    Carr JA. Tissue expander-assisted ventral hernia repair for the skin-grafted damage control abdomen. World J Surg. 2014;38:782–7.CrossRefGoogle Scholar
  25. 25.
    Ibarra-Hurtado TR, Nuno-Guzman CM, Echeagaray-Herrera JE, Robles-Velez E, de Jesus Gonzalez-Jaime J. Use of botulinum toxin type a before abdominal wall hernia reconstruction. World J Surg. 2009;33(12):2553–6.CrossRefGoogle Scholar
  26. 26.
    Hurtado TRI, Ramos GIN, Hernández FP, Nuño Guzmán CM, Alcalá ET, Cuellar LB. Toxina botulínica A como adyuvante en hernia inguinoescrotal bilateral con pérdida de domicilio. Informe del primer caso y revisión bibliográfica. Rev Hispanoam Hernia. 2014;2(4):139–44.CrossRefGoogle Scholar
  27. 27.
    Chernev I. A giant inguinoscrotal hernia. ScientificWorldJournal. 2010;10:72–3.CrossRefGoogle Scholar
  28. 28.
    McAdory RS, Cobb WS, Carbonell AM. NPP for hernias with loss of domain. Am Surg. 2009;75:504–9.PubMedGoogle Scholar
  29. 29.
    Willis S, Schumpelick V. Use of NPP in the repair of giant hernias. Hernia. 2000;4:105–11.CrossRefGoogle Scholar
  30. 30.
    Murr MM, Mason EE, Scott DH. The use of NPP in the repair of giant hernias. Obes Surg. 1994;4:323–7.CrossRefGoogle Scholar
  31. 31.
    Goñi-Moreno I. Chronic eventrations and large hernias: preoperative treatment by progressive pneumoperitoneum—original procedure. Surgery. 1947;22:945–53.Google Scholar
  32. 32.
    Van Geffen HJAA, Simmermacher RKJ. Incisional hernia repair: abdominoplasty, tissue expansion, and methods of augmentation. World J Surg. 2005;29:1080–5.CrossRefGoogle Scholar
  33. 33.
    Sabbagh C, Dumont F, Robert B, Badaoui R, Verhaeghe P, Regimbeau JM. Peritoneal volume is predictive of tension-free fascia closure of large incisional hernias with loss of domain: a prospective study. Hernia. 2011;15:559–65.CrossRefGoogle Scholar
  34. 34.
    La Meir M, Vierendeels T, Poortmans M. Pneumoperitoneum in repair of giant hernias and eventrations. Acta Chir Belg. 2002;102:263–5.CrossRefGoogle Scholar

Copyright information

© Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) 2019

Authors and Affiliations

  • Marco Alban Garcia
    • 1
  1. 1.Hernia Unit of RedSalud Clínica Bicentenario y Clínica Tabancura, Department of SurgeryLos Andes UniversitySantiagoChile

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