[Skip to Content]
Sign In
Individual Sign In
Create an Account
Institutional Sign In
OpenAthens Shibboleth
[Skip to Content Landing]
Article
February 1968

PneumoperitoneumA Neglected Procedure for the Repair of Large Abdominal Hernias

Author Affiliations

Salt Lake City
From the Department of Surgery, University of Utah College of Medicine, and Department of Surgery, St. Marks Hospital, Salt Lake City.

Arch Surg. 1968;96(2):252-253. doi:10.1001/archsurg.1968.01330200090016
Abstract

A SAFE and easy approach to the repair of large abdominal hernias is first to prepare the patient with progressive pneumoperitoneum. This seems to be particularly true in patients with chronic pulmonary disease. This procedure was first reported by Ivan Goni Moreno in 1940.1,2 Since that time progressive pneumoperitoneum has been frequently described in foreign literature3-7; yet, only four papers have been presented on this subject in American literature in the past ten years.8-11 It is obvious that the procedure has not received the attention it deserves. Also of note are reports indicating the efficacy of this technique for repair of ompholoceles.12-16 This paper will present our successful experience with pneumoperitoneum in the repair of 21 large abdominal hernias in the hope that others may be encouraged to employ it.

Rationale  Repairing or attempting to repair giant ventral, umbilical, incisional, or inguinal hernias can be a

References
1.
Moreno, I.G.:  Chronic Eventrations and Large Hernias: Preoperative Treatment by Progressive Pneumoperitoneum: Original Procedure , Surgery 22:945-953, 1947.
2.
Moreno, I.G.: " The Rational Treatment of Hernias and Voluminous Chronic Eventrations: Preparations With Progressive Pneumoperitoneum ," in Nyhus, L.M., and Harkins, H.N. (eds.): Hernia , Philadelphia: J. B. Lippincott Company, 1964, p 688.
3.
Galeano, F., et al:  Progressive Pneumoperitoneum in the Diagnosis and Treatment of Hernias and Eventrations , J Chir 89:95-97, 1965
4.
Prensa Med Argent 49:1584-1585, 1962.
5.
Anagnostides, N, and Kostopoulos, G.:  The Pre-operative Pneumoperitoneum in Voluminus Hernias , Lyon Chir 58:40-45, 1962.
6.
Díaz-Arrastia Y Fuentes, R.:  Value of Pneumoperitoneum in the Pre-operative Management of Incisional Hernias , Arch Hosp Univ 11:102-107, 1959.
7.
Goldin, J., and Olmedo Diaz, M.A.:  Prior Pneumoperitoneum in the Treatment of Large Hernias and Eventrations , Prensa Med Argent 47:2204-2206, 1960.
8.
Berra, J.L., and Baudron, E.L.:  Pre-operative Pneumoperitoneum in Eventrations: Experience in 68 Cases , Dia Med 34:1521-1523, 1962.
9.
Martin, R.E.:  Successful Repair of the Seventh Recurrence of Massive Incisional Hernia , Amer J Surg 111:565-568, 1966.Article
10.
Moore, R.P.:  Giant Ventral Hernia and Pneumoperitoneum , Northwest Med 60:51-53, 1961.
11.
Steichen, F.M.:  A Simple Method For Establishing, Maintaining, and Regulating Surgically Induced Pneumoperitoneum in Preparation for Large Hernia Repairs , Surgery 58:1031-1032, 1965.
12.
Pines, B.:  Pneumoperitoneum in the Preparation for Correction of a Large Abdominal Hernia in an Infant , Pediatrics 26:273-280, 1960.
13.
Ravitch, M.M.: " Pediatric Surgery-Gastrointestinal Tract ," in Harkins, H.N., et al (eds.): Surgery, Principles in Practice , ed 2, Philadelphia: J. B. Lippincott Company, 1961, p 1290.
14.
Ravitch, M.M.:  Giant Omphalocele: Second Stage Repair With the Aid of Pneumoperitoneum , JAMA , 185:42-44, 1963.Article
15.
Spratt, J.S., Jr.:  Artificial Pneumoperitoneum , Amer J Surg 101:375-379, 1961.Article
16.
Whelan, T.J., Jr., and Eaker, A.B.:  Pneumoperitoneum in Preparation for Second-Stage Omphalocele Repair , Surgery 51:263-269, 1962.
17.
Nissan, S.:  Pneumoperitoneum as Aid for Second Stage Repair of Omphalocele , Arch Surg 91:839-841, 1965.Article
18.
Faber, V., and Harsanyi, L.:  Fatal Air Embolism Due to Therapeutic and Diagnostic Abdominal Air Insufflation , Orv Hetil 103:782-787, 1962.
19.
Torok, L.:  Spontaneous Pneumothorax as a Complication of Pneumoperitoneum , Tuberkulozis 13:315-317, 1960.
20.
Koontz, A.R., and Graves, J.W.:  Pre-operative Pneumoperitoneum as an Aid in Handling of Gigantic Hernias , Ann Surg 140:759-762, 1954.Article
21.
Mason, E.E.:  Pneumoperitoneum in the Management of Giant Hernia , Surgery 39:143-151, 1956.
22.
Mansuy, M.M., and Hager, H.G., Jr.:  Pneumoperitoneum in Preparation for Correction of Giant Hernias , New Eng J Med 258:33-34, 1958.Article
23.
Koontz, A.R.:  Hernias That Have Forfeited the Right to Domicile: Use of Pneumoperitoneum as an Aid in Their Operative Cure , Southern Med J 51:165-168, 1958.Article
24.
Moyer, C.A.: " Experiences With Pneumoperitoneum for Massive Ventral Hernias ," in Nyhus, L.M., and Harkins, H.N. (eds.): Hernia , Philadelphia: J. B. Lippincott Company, 1964, p 703.
×