title: The repair of large ventral hernias in patients with severe cardio-respiratory disease: Volume transposition technique.
abstract: Massive hernias of the abdominal wall present a major challenge to the general surgeon. In some extreme cases of patients with severe cardio-respiratory disease, the repair of such hernias may be impracticable. In these cases, we believe the volume transposition technique is appropriate. In this approach, the hernia volume is calculated and the wall repaired with mesh to accommodate the estimated volume of the hernia sac, thus avoiding any increase in intra-abdominal pressure. We believe this technique is simple, reproducible and useful in cases that are inoperable due to cardio-respiratory problems that make any loss of lung volume unacceptable.
authors.affiliation: Service of Surgery, Antequera Hospital, Málaga, Spain. Electronic address: javinewyork@hotmail.com.
authors.forename: F J Pérez
authors.initials: FJ
authors.lastname: Lara
authors.affiliation: Service of Plastic Surgery, Malaga Hospital, Málaga, Spain.
authors.forename: A Ferrer
authors.initials: AF
authors.lastname: Berges
authors.affiliation: Intensive Care Unit, Marbella Hospital, Málaga, Spain.
authors.forename: M J Mairena
authors.initials: MJ
authors.lastname: Valdenebro
authors.affiliation: Service of Surgery, Antequera Hospital, Málaga, Spain.
authors.forename: J Doblas
authors.initials: JD
authors.lastname: Fernández
authors.affiliation: Service of Surgery, Antequera Hospital, Málaga, Spain.
authors.forename: A
authors.initials: A
authors.lastname: Del Rey Moreno
authors.affiliation: Service of Surgery, Antequera Hospital, Málaga, Spain.
authors.forename: H Oliva
authors.initials: HO
authors.lastname: Muñoz
mesh_terms: D049628:Body Size; D005260:Female; D006331:Heart Diseases / Q000150:complications; D006555:Hernia, Ventral / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery*; D059685:Herniorrhaphy / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010529:Peritoneal Cavity / Q000000981:diagnostic imaging*; D019919:Prosthesis Implantation / Q000379:methods*; D012140:Respiratory Tract Diseases / Q000150:complications; D013526:Surgical Mesh; D014057:Tomography, X-Ray Computed
keywords: Cardio-respiratory disease; Large ventral hernias; Surgery; Technique; Volume