Swelstad J, Caprini J A
Am Surg. 1978 Jun;44(6):337-41.
The preoperative use of progressive pneumoperitoneum in the treatment of large or complicated ventral hernias is established to be safe and useful. Indications for use of this technique include massive hernias, hernias that are repaired in a contaminated field, hernias in patients considered poor operative risks, and recurrent hernias. Five patients are described in whom this technique was used; all five hernias were closed primarily without tension, mesh, or postoperative complications. follow-up reveals no evidence of recurrence.
术前采用渐进性气腹术治疗大型或复杂性腹疝已被证实是安全有效的。该技术的应用指征包括巨大疝、在污染区域修补的疝、被认为手术风险高的患者的疝以及复发性疝。本文描述了5例采用该技术的患者；所有5例疝均一期无张力关闭，未使用补片，也未出现术后并发症。随访未发现复发迹象。
