Cirugía y Cirujanos (Jan 2023)

Botulinum toxin A (IncobotulinumtoxinA) and pneumoperitoneum image-guided for hernia repair with loss of dominance

  • Sergio E. López-Juárez,
  • Alberto Medina-Benítez,
  • Ricardo Durán-Reyes,
  • Bernardo I. Bagundo-Pérez,
  • Oscar I. Fortuna-Sandoval,
  • Mariana S. Trejo-García

DOI
https://doi.org/10.24875/CIRU.21000616
Journal volume & issue
Vol. 91, no. 1

Abstract

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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-yearold 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.

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