Influence of active volume reduction surgery on intra-abdominal hypertension and prognosis in giant abdominal wall hernia repair

Abstract

Objective To explore the influence of active volume reduction surgery on intra-abdominal hypertension and prognosis in giant abdominal wall hernia repair. Methods The clinical data of 40 patients with giant abdominal wall hernia treated in Guangyuan central hospital from January 2015 to August 2017 were retrospectively analyzed, all patients underwent giant abdominal wall hernia repair combined with active volume reduction surgery. The perioperative and postoperative recovery related indicator, complications and recurrence were recorded, the changes of intravesical pressure before and after surgery were compared. Results All patients underwent surgery successfully, and the length of the intestine removed were (243.34±33.40) cm, the surgical incision healed up after the suture removal. The total postoperative complication rate was 30.00%, the recurrence rate of hernia was 5.13% during 9~12 months of follow-up. Compared with index of preoperative, postoperative intravesical pressure significantly reduced [(11.19±1.84) cm H2O vs (19.78±2.32) cm H2O, P<0.05]. Conclusion Giant abdominal wall hernia repair combined with active volume reduction surgery to remove some of the omentum/intestinal tube and other organs, can significantly reduce the intra-abdominal hypertension and improve the prognosis of patients. Key words: Giant abdominal wall hernia repair; Active volume reduction surgery; Intra-abdominal hypertension; Prognosis