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Abstract Background In patients with incisional or inguinal hernias with loss of domain, it is necessary to plan an appropriate surgical repair adapted to their comorbidities, potential risks and postoperative complications. One of the techniques to achieve this goal is progressive preoperative pneumoperitoneum (PPP) to prevent postoperative abdominal hypertension syndrome. PPP involves a long preoperative hospital stay. In our centre we have started to use this technique in our Home Care Hospitalisation Unit (HCHU). We analyse the results of the implementation of PPP in our HCHU to prepare patients with hernia with loss of domain for elective surgery. Method Unit observational study between April 2016 and October 2023. 18 patients were included (14 incisional and 4 inguinal hernias). All were admitted to hospital and a CT scan guided catheter was inserted into the abdominal cavity. Daily insufflation with 1000 cc of ambient air was performed for 48 h. If no complications were observed, patients were admitted to HCHU to continue insufflation. Results The median length of stay in the HCHU was 12.47 days (SD 3.14 days). Median insufflation volume was 10751 cc (6060–16000 cc). There was only 1 complication, a urinary tract infection, not related to the procedure. None of the patients required conventional hospital readmission during this period, but one of them refused to continue treatment at HCHU after admission. Conclusion The PPP technique is a safe technique to develop in a HCHU. It reduces the length of hospital stay, reducing the economic costs and complications associated with conventional hospitalisation.
Crusellas et al. (Wed,) studied this question.