Assessing the respiratory impact caused when giant hernias are reinserted into the abdominal cavity, in order to determine the optimal surgical approach
1 Chief of Surgery Service. Hospital de Antequera. Málaga (Spain).
2 Pneumologist. Internal Medicine Service. Hospital de Antequera. Málaga (Spain).
3 Respiratory function test nurse. Hospital de Antequera. Málaga (Spain).
4 Digestive Surgeon. Surgery Service. Hospital de Antequera. Málaga (Spain).
Research Article
World Journal of Advanced Research and Reviews, 2020, 08(02), 285-290
Article DOI: 10.30574/wjarr.2020.8.2.0445
Publication history:
Received on 19 November 2020; revised on 27 November 2020; accepted on 29 November 2020
Abstract:
The reinsertion of a large hernia into the abdominal cavity provokes an increase in abdominal volume and pressure that can result in intra-abdominal hypertension. This, in turn, may generate a series of complex changes in cardiopulmonary physiology and induce severe respiratory insufficiency.
At present, no objective method exists to evaluate the possibility of this respiratory complication occurring. Accordingly, the present study was undertaken to measure the respiratory consequences of abdominal volume restriction. The data obtained were used to construct a reference table, from which the reduction in FEV1 can be predicted according to the hernia volume reinserted. Thus, the surgeon has access to more accurate information, which greatly facilitates the treatment of large abdominal hernias.
Keywords:
Giant hernia; Volume; Repair; Respiratory; Abdominal cavity
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Copyright © 2020 Author(s) retain the copyright of this article. This article is published under the terms of the Creative Commons Attribution Liscense 4.0