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CC BY 4.0 · Journal of Clinical Interventional Radiology ISVIR
DOI: 10.1055/s-0045-1809303
Case Report

Preoperative Progressive Pneumoperitoneum for Giant Inguinal Hernia: Useful Adjunct Prior to Surgical Management

Divij Agarwal 
1   Department of Radiodiagnosis and Interventional Radiology, All India Institute of Medical Sciences, New Delhi, India
,
Yashaswi Singh
1   Department of Radiodiagnosis and Interventional Radiology, All India Institute of Medical Sciences, New Delhi, India
,
Dipin Sudhakaran 
1   Department of Radiodiagnosis and Interventional Radiology, All India Institute of Medical Sciences, New Delhi, India
,
Washim Firoz Khan
2   Department of Surgical Disciplines, All India Institute of Medical Sciences, New Delhi, India
,
Rajendra Kumar Behera
1   Department of Radiodiagnosis and Interventional Radiology, All India Institute of Medical Sciences, New Delhi, India
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Abstract

Giant inguinal hernias pose a significant challenge in surgical management, with the main risk of hernial sac reduction being abdominal compartment syndrome. Different therapeutic approaches have been described in literature. We present the case of a 61-year-old male patient who presented with giant inguinal hernia who was treated with preoperative progressive pneumoperitoneum followed by open tension-free mesh hernioplasty, with no postoperative complications.

Keywords

hernia - abdominal compartment syndrome - pneumatic adhesiolysis


Publikationsverlauf

Artikel online veröffentlicht:
13. Juni 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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