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Prae- og intraoperative metoder til ögning af bughulens rummelighed forud for ventralherniotomi
Engelsk titel: Pre- and intra-operative methods of increasing abdominal compliance in surgery of ventral hernias Läs online Författare: Zinther, Nellie Bering ; Friis-Andersen, Hans Språk: Dan Antal referenser: 30 Dokumenttyp: Översikt UI-nummer: 20030113

Tidskrift

Ugeskrift for Laeger 2019;181(23)2219-22 ISSN 0041-5782 E-ISSN 1603-6824 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

Treatment of ventral hernias with “loss of domain” is a surgical challenge, and in this review, an overview of the current literature is presented. Abdominal compliance can be increased intra-operatively by performing component separation and/or organ reduction but leads to increased post-operative morbidity. As a result, preoperative methods, which increase abdominal compliance, are of interest: tissue expanders, progressive pneumoperitoneum, and botulinum toxin A. The aim of them all is to expand the abdominal wall allowing reconstruction while reducing complications.