Loss of Abdominal Domain

  • Marco Alban Garcia


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.


Loss of domain Giant hernia Complex hernia Pneumoperitoneum Botox 

Supplementary material

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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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