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

Cirugia y cirujanos 2023

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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-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. Copyright: © 2023 Permanyer.

Citation

Sergio E López-Juárez, Alberto Medina-Benítez, Ricardo Durán-Reyes, Bernardo I Bagundo-Pérez, Oscar I Fortuna-Sandoval, Mariana S Trejo-García. Botulinum toxin A (IncobotulinumtoxinA) and pneumoperitoneum image-guided for hernia repair with loss of dominance. Cirugia y cirujanos. 2023;91(1):117-121