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Botulinum Toxin Type A and Progressive Preoperative Pneumoperitoneum in Large Giant Inguinoescrotal Hernias
Antonio Torregrosa Gallud*
Department of Abdominal Wall Surgery, University and Politechnic Hospital La Fe, Spain
*Corresponding author: Antonio Torregrosa Gallud, Department of Abdominal Wall Surgery, University and Politechnic Hospital La Fe, Valencia, Spain
Published: 06 Feb, 2018
Cite this article as: Gallud AT. Botulinum Toxin Type
A and Progressive Preoperative
Pneumoperitoneum in Large Giant
Inguinoescrotal Hernias. Clin Surg.
2018; 3: 1898.
Keywords
Large inguinal hernia; Primary hernia; Inguinoscrotal hernia; Botulinum toxin type A; Progressive preoperative pneumoperitoneum
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When we have great hernias outside the abdominal cavity like large groin in guinoescrotal hernias, morgagni hernias…, there turn to their home must be difficult appearing sometimes compartment abdominal syndrome (Figure 1-5). In the last five years we have treated 10 cases of different primary hernias with botulinum toxin A, PPP or both combined [1-5]. In all cases we perform CT scan in valsalva and we measure the volume of the hernias and the volume of abdominal cavity and the ratio (Figures 6-8). We could close all the defects and return the intestinal contents to their home in all cases [6,7]. The use of both techniques together must be implemented routinely in this type of hernias (Figure 9,10).