Respiratory Physiopathology in Surgical Repair of Large Abdominal Hernias

  • Gabriele Munegato
  • Michele Schiano di Visconte
  • Danilo Da Ros
  • Andrea Sanna
Part of the Updates in Surgery book series (UPDATESSURG)


In 1973, Rives [1] and associates emphasised the therapeutic problems and physiopathologic respiratory implications of large abdominal incisional hernias, considered to be a form of “eventration disease”. He introduced the term “thoraco-abdominal compartment” to describe the inseparable and the interdependent link between the chest and the abdomen and introduced the concept of “paradoxical abdominal respiration and abdominal volet”.


Chronic Obstructive Pulmonary Disease Incisional Hernia Abdominal Compartment Syndrome Respiratory Mechanic Abdominal Pressure 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Rives J, Pire JC, Palot JB et al (1973) Les grandes éventrations. Importance du “volet abdominal” et des troubles respiratoires qui lui sont secondaires. Chirurgie 99:547–563PubMedGoogle Scholar
  2. 2.
    Trivellini G, Zanella G, Danelli PG et al (1984) Traitement chirurgical des grandes éventrations. Etude ďune technique adaptée aux troubles de la compliance respiratoire. Chirurgie 110:116–122PubMedGoogle Scholar
  3. 3.
    Broseghini C, Brandolese R, Poggi R et al (1988) Respiratory mechanics during the first day of mechanical ventilation in patients with pulmonary edema and chronic airway obstruction. Am Rev Respir Dis 138:355–361PubMedGoogle Scholar
  4. 4.
    Severgnini P, Inzigneri G, Frattini L et al (2006) Effetti della pressione intra-addominale sulla meccanica respiratoria. Osp Ital Chir 12:386–394.Google Scholar
  5. 5.
    Munegato G, Brandolese R (2001) Respiratory physiopathology in surgical repair for large incisional hernia of abdominal wall. J Am Coll Surg 192:298–304PubMedCrossRefGoogle Scholar
  6. 6.
    Munegato G, Grigoletto R, Brandolese R (2000) Respiratory mechanics in abdominal compartment syndrome and large incisional hernias of the abdominal wall. Hernia 4:282–285CrossRefGoogle Scholar
  7. 7.
    Rives J, Pire JC, Flament JB, Palot JP (1987) Major incisional hernias. Springer-Verlag, New York, pp 116–144Google Scholar
  8. 8.
    Cheverl JP (2000) Classification of the incisional hernia of the abdominal wall. Hernia 4:7–11CrossRefGoogle Scholar
  9. 9.
    Ammaturo C, Bassi G (2005) The ratio between anterior abdominal wall surface/wall defect surface: a new parameter to classify abdominal incisional hernias. Hernia 9:316–321PubMedCrossRefGoogle Scholar
  10. 10.
    Brandolese R, Munegato G, Grigoletto R (2000) The importance of respiratory mechanics measurements during surgery of the abdominal wall. Hernia 4:197–201CrossRefGoogle Scholar
  11. 11.
    Marini JJ (1990) Work of breathing during mechanical ventilation. Update in intensive care and emergency medicine. Springer-Verlag, Berlin, pp 239–251Google Scholar
  12. 12.
    Otis AB, Fenn WO, Rahn H (1950) The mechanics of breathing in man. J Appl Physiol 2:592–607PubMedGoogle Scholar
  13. 13.
    Grassino A, Macklem PT (1984) Respiratory muscles fatigue and ventilatory failure. Ann Rev Med 35:625–647PubMedCrossRefGoogle Scholar
  14. 14.
    Beharakis PK, Higgs Pma, Zin WA et al (1985) Partitioning of respiratory mechanics in halothane anesthetized humans. J Appl Physiol 58:285–289Google Scholar
  15. 15.
    Brandolese R, Polese G, Rossi A et al (1991) Partitioning of respiratory mechanics in mechanically ventilated patients. J Appl Physiol 71:2425–2433PubMedGoogle Scholar
  16. 16.
    Baydur A, Behrakhis PK, Zin W et al (1982) A simple method for assessing the validity of the esophageal balloon technique. Am Rev Respir Dis 126:788–791PubMedGoogle Scholar
  17. 17.
    Higgs BD, Behrakhis PK, Milic-Emili J (1983) Measurement of pleural pressure with esophageal balloon in anaesthetized humans. Anesthesiology 59:340–343PubMedCrossRefGoogle Scholar
  18. 18.
    Goni Moreno I (1970) Les pneumopéritoines dans la réparation pré-opératoire des grandes éventrations. Chirurgie 9:581–585Google Scholar
  19. 19.
    Wantz GE (1991) Atlas of hernia surgery. Raven Press, New YorkGoogle Scholar
  20. 20.
    čAngelo E, Calderini E, Torri F et al (1989) Respiratory mechanics in anesthetized paralyzed humans. J Appl Physiol 67:2256–2264Google Scholar
  21. 21.
    Meldrum DR, Moore FA, Moore EE et al (1997) Prospective characterization and selective management of the abdominal compartment syndrome. Am J Surg 174:667–673PubMedCrossRefGoogle Scholar
  22. 22.
    Mayberry JC (1999) Prevention of the abdominal compartment syndrome. Lancet 354:1749–1750PubMedCrossRefGoogle Scholar
  23. 23.
    Pierri A, Munegato G, Carraro L et al (1995) Hemodynamic alterations during massive abdominal hernioplasty. J Am Coll Surg 181:299–302PubMedGoogle Scholar
  24. 24.
    Ciresi CL, Cali RF, Senagore AJ (1999) Abdominal closure using nonabsorbable mesh after massive resuscitation prevents abdominal compartment syndrome and gastrointestinal fistula. Am Surgeon 65:720–725PubMedGoogle Scholar

Copyright information

© Springer-Verlag Italia 2008

Authors and Affiliations

  • Gabriele Munegato
  • Michele Schiano di Visconte
  • Danilo Da Ros
  • Andrea Sanna

There are no affiliations available

Personalised recommendations