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Published on: June 25, 2013
INTRA-ABDOMINAL PRESSURE MONITORING DURING LÁZARO DA SILVA'S PROCEDURE FOR VENTRAL HERNIA REPAIR: A CROSS-SECTIONAL
Pedro Ducatti de Oliveira E Silva1,2, Renato Miranda de Melo2,3, Cássio Eduardo da Silva Gontijo4
1Universidade Federal de Goiás, Faculty of Medicine, Postgraduate Program in Health Sciences - Goiânia (GO), Brazil.
Background:
Maintaining normal intra-abdominal pressure (IAP) levels must be one major outcome of any ventral hernia repair, avoiding hypertension or abdominal compartment syndrome.
Aims:
To evaluate IAP during ventral hernia repair using Lázaro da Silva's procedure.
Methods:
IAP measurements using intravesical pressure were performed during four crucial intraoperative moments. Twenty-eight patients submitted to incisional herniorrhaphy were analyzed.
Results:
The IAP increased by 0.5 mmHg during the procedure, regardless of the type of prior laparotomy, sex, age, obesity, or hernia width.
Conclusions:
Despite the IAP increase observed, Lázaro da Silva's procedure did not result in intra-abdominal hypertension or abdominal compartment syndrome.
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