Bueno-Lledó José, Torregrosa Gallud Antonio, Jiménez Rosellón Raquel, Carbonell Tatay Fernando, García Pastor Providencia, Bonafé Diana Santiago, Iserte Hernández José
Unidad de Cirugía de Pared Abdominal, Departamento de Cirugía Digestiva, Hospital Universitari i Politecnic La Fe, Universidad de Valencia, Valencia, España.
Unidad de Cirugía de Pared Abdominal, Departamento de Cirugía Digestiva, Hospital Universitari i Politecnic La Fe, Universidad de Valencia, Valencia, España.
Cir Esp. 2017 May;95(5):245-253. doi: 10.1016/j.ciresp.2017.04.006. Epub 2017 May 26.
Preoperative progressive pneumoperitoneum and botulinum toxin type A are useful tools in the preparation of patients with loss of domain hernias. Both procedures are complementary in the surgical repair, especially with the use of prosthetic techniques without tension, that allow a integral management of these patients. The aim of this paper is to update concepts related to both procedures, emphasizing the advantages that take place in the preoperative management of loss of domain hernias.
术前渐进性气腹和A型肉毒杆菌毒素是治疗腹腔疝缺损患者的有用手段。这两种方法在手术修复中互为补充,尤其是在无张力使用人工材料技术时,能够对这些患者进行综合管理。本文旨在更新与这两种方法相关的概念,强调在腹腔疝缺损患者术前管理中所取得的优势。