Skip to Main content Skip to Navigation
Master Thesis

Is progressive preoperative pneumoperitoneum (PPP) really safe? Assessment of its specific morbi-mortality in a retrospective study over 152 patients

Abstract : Objective: To assess PPP specific morbi-mortality, before large abdominal hernia repair. Patients and methods: Monocentric retrospective study over 152 patients, treated between October 1974 and February 2014. Primary endpoint is PPP related morbidity and mortality rates. Secondary endpoints are surgical care results (post operatives complications rate, recurrence rate). Results: PPP specific complications rate is 20%: 15% for minor complications, 5% for major complications. Mortality rate is inferior to 1%. Surgical repair rate is 98.9% (91% with mesh reinforcement). Postoperative complications rate reach 40% (minor 20%, major 16%); mortality is inferior to 3%. Median length of stay is 30 days. Recurrence rate is 15% (median follow up of 12 months). Conclusions: PPP is not totally safe, and with its 5% of major complications, we do not recommend to use it on an outpatient basis. Using surgically placed intrapéritonéal catheter, with less than 2 weeks of insufflations period, may decrease its specific morbi-mortality. Multidisciplinary perioperative management program (nutrition, bariatric surgery) and new surgical techniques (perforating arteries sparing, biological mesh) should improve surgical results.
Document type :
Master Thesis
Complete list of metadatas

Cited literature [49 references]  Display  Hide  Download

https://dumas.ccsd.cnrs.fr/dumas-01205492
Contributor : Jean-Hugues Morneau <>
Submitted on : Friday, September 25, 2015 - 3:35:58 PM
Last modification on : Wednesday, July 15, 2020 - 8:58:04 AM
Long-term archiving on: : Tuesday, December 29, 2015 - 10:20:32 AM

Identifiers

  • HAL Id : dumas-01205492, version 1

Citation

Nicolas Mougin. Is progressive preoperative pneumoperitoneum (PPP) really safe? Assessment of its specific morbi-mortality in a retrospective study over 152 patients. Human health and pathology. 2015. ⟨dumas-01205492⟩

Share

Metrics

Record views

112

Files downloads

534