The outcome of pre-operative botulinum toxin in the treatment of large incisional hernias

Large incisional hernias with loss of domain represents a challenge for the surgeon. Pre-operative tools such as progressive pneumoperitoneum or botulinum toxin type A have been reported useful effective and successful surgical procedure in patients large hernias. Both mentioned procedures are complementary to hernia repair, using no-strain mesh techniques that support patients’ integral management. The objective current investigation was assess potential pre-operative treatment Thirteen were investigated examined different parameters including diameters abdominal cavity sac, volume contents which calculated from CT scan. carried duration two years December 2020 January 2022. After thorough clinical examination operated ventral repair. Eleven underwent complete repair wall; one patient bridging required onlay Botulinum observed be safe technique, has good tolerance can constitute an preoperative tool hernia. This technique aidful significantly reducing content into cavity, turn is important factor