Hernia inguinoescrotal bilateral gigante con pérdida de domicilioUtilidad de la toxina botulínica tipo a en el tratamiento adyuvante
- Carvajal Balaguera, J. 1
- Martín García-Almenta, M. 1
- de Pablo Zurdo, L. 2
- Población García, G. 3
- Camuñas Segovia, J. 1
- 1 Servicio de Cirugía General y Digestiva. Hospital Central Cruz Roja San José y Santa Adela de Madrid.
- 2 Servicio de Radiodiagnóstico. Hospital Central Cruz Roja San José y Santa Adela de Madrid.
- 3 Servicio de Anestesia y Reanimación. Hospital Central Cruz Roja San José y Santa Adela de Madrid.
ISSN: 1139-8264
Argitalpen urtea: 2018
Alea: 21
Zenbakia: 3
Orrialdeak: 87-93
Mota: Artikulua
Beste argitalpen batzuk: Revista española de investigaciones quirúrgicas
Laburpena
The repair of the giant inguinoescrotal hernia constitutes a real therapeutic challenge, because the forced reintroduction of the viscera causes an increase in the intrabdominal pressure, which gives rise to a compartment syndrome, a very serious entity that endangers the life of the patient. Several strategies have been described to increase the capacity of the abdominal cavity and allow the repair of the hernia without complications. We present the case of an 84-year-old patient with a bilateral giant inguinoscrotal hernia of long evolution. After applying botulinum toxin type A in the abdominal wall an increase in the capacity of the abdominal cavity was obtained, which allowed hernia repair, without problems. Based on this case, we conducted a review of the different alternative techniques to address this complex pathology, highlighting the application of botulinum toxin A as an adjuvant technique, to facilitate the safe repair of the hernia and without tension.