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

MONITORAMENTO DA PRESSÃO INTRA-ABDOMINAL DURANTE PROCEDIMENTO DE LÁZARO DA SILVA PARA CORREÇÃO DE HÉRNIA VENTRAL: ESTUDO TRANSVERSAL

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.

HEADINGS:
Ventral Hernia; Incisional Hernia; Intra-Abdominal Hypertension; Herniorrhaphy