Conditioning of the abdominal wall with progressive pneumoperitoneum in hernias with loss of domain. A consensus proposal.

The performance of progressive pneumoperitoneum in hernias with loss of domain is a common practice in surgical units with a special focus on abdominal wall surgery. The main objective of this article is to describe a consensus proposal on the utility of the procedure, its indications, contraindications, the description of the different catheter placement techniques for insufflation, the recommendation of insufflation protocols, and the potential complications arising from the procedure. Additionally, an informed consent proposal endorsed by the Abdominal Wall Group of the Spanish Association of Surgeons (AEC) is included.