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PneumoperitoneumA Neglected Procedure for the Repair of Large Abdominal Hernias
James H. Pingree, MD;
John H. Clark, MD
AMA Arch Surg. 1968;96(2):252-253.
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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
. . . [Full Text PDF of this Article]
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.
Footnotes
Submitted for publication Aug 10, 1967.
Reprint requests to Department of Surgery, University of Utah College of Medicine, 50 N Medical Drive, Salt Lake City 84112 (Dr. Pingree).
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