A型肉毒毒素（IncobotulinumtoxinA）和经皮气腹图像引导下疝修补术，伴优势丧失。
Botulinum toxin A (IncobotulinumtoxinA) and pneumoperitoneum image-guided for hernia repair with loss of dominance.
机构信息
Department of General Surgery, Hospital Regional Madero PEMEX, Ciudad Madero.
Department of Radiology and Imaging, Hospital Regional Madero PEMEX, Ciudad Madero.
出版信息
Cir Cir. 2023;91(1):117-121. doi: 10.24875/CIRU.21000616.
Post-incisional ventral hernia is estimated at 5-30%, when the content of the abdominal cavity migrates to the hernial sac (HSV), with a HSV/abdominal cavity volume ratio > 25%, conditioning systemic changes defined as "loss of domain". A 27-year-old male presented with ventral hernia with loss of domain that required pre-operative preparation techniques, using application of botulinum toxin A (IncobotulinumtoxinA) and pneumoperitoneum, both guided by image. A ventral plasty was performed with adequate return of the viscera to the abdominal cavity. The combination of both techniques seems to be a safe procedure to carry out a tension-free repair.
切口后腹疝的估计发生率为 5-30%，当腹腔内容物迁移到疝囊（HSV）时，HSV/腹腔容积比>25%，导致全身性改变，定义为“失域”。一名 27 岁男性出现腹疝伴失域，需要术前准备技术，使用肉毒毒素 A（IncobotulinumtoxinA）和气腹的应用，两者均通过图像引导。进行了腹成形术，使内脏充分返回腹腔。这两种技术的结合似乎是一种安全的无张力修复方法。
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