Resumo

LOPEZ-JUAREZ, Sergio E. et al. Botulinum toxin A (IncobotulinumtoxinA) and pneumoperitoneum image-guided for hernia repair with loss of dominance. Cir. cir. [online]. 2023, vol.91, n.1, pp.117-121.  Epub 16-Maio-2023. ISSN 2444-054X.  https://doi.org/10.24875/ciru.21000616.

Post-incisional ventral hernia is estimated at 5-30%, when the content of the abdominal cavity migrates to the hernial sac (HSV), with a HSV/abdominal cavity volume ratio > 25%, conditioning systemic changes defined as "loss of domain". A 27-year-old male presented with ventral hernia with loss of domain that required pre-operative preparation techniques, using application of botulinum toxin A (IncobotulinumtoxinA) and pneumoperitoneum, both guided by image. A ventral plasty was performed with adequate return of the viscera to the abdominal cavity. The combination of both techniques seems to be a safe procedure to carry out a tension-free repair.

Palavras-chave : Ventral Hernia; Pneumoperitoneum; Botulinum toxin A; IncobotulinumtoxinA.