INTRA-ABDOMINAL PRESSURE MONITORING DURING LÁZARO DA SILVA'S PROCEDURE FOR VENTRAL HERNIA REPAIR: A CROSS-SECTIONAL STUDY.

Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery Pub Date : 2024-07-19 eCollection Date: 2024-01-01 DOI:10.1590/0102-6720202400020e1813

Pedro Ducatti de Oliveira E Silva, Renato Miranda de Melo, Cássio Eduardo da Silva Gontijo, Ênio Chaves de Oliveira

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Abstract

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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Lázaro da Silva 腹股沟疝修补术中的腹内压监测：横断面研究。

背景：维持正常的腹腔内压力（IAP）水平必须是腹股沟疝修补术的主要成果之一，以避免高血压或腹腔隔室综合征：方法：在术中四个关键时刻使用膀胱内压测量 IAP。对 28 名接受切口疝修补术的患者进行了分析：结果：在手术过程中，IAP 增加了 0.5 mmHg，与之前的开腹手术类型、性别、年龄、肥胖或疝气宽度无关：结论：尽管观察到IAP增加，但Lázaro da Silva的手术并未导致腹内高压或腹腔间隔综合征。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery

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