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Preoperative preparation of «loss of domain» hernia. Progressive pneumoperitoneum and botulinum toxin type A
José Bueno-Lledó1, Antonio Torregrosa Gallud1, Raquel Jiménez Rosellón1
1Unidad de Cirugía de Pared Abdominal, Departamento de Cirugía Digestiva, Hospital Universitari i Politecnic La Fe, Universidad de Valencia, Valencia, España.
Abstract:
Preoperative progressive pneumoperitoneum and botulinum toxin type A are useful tools in the preparation of patients with loss of domain hernias. Both procedures are complementary in the surgical repair, especially with the use of prosthetic techniques without tension, that allow a integral management of these patients. The aim of this paper is to update concepts related to both procedures, emphasizing the advantages that take place in the preoperative management of loss of domain hernias.
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