{
  "abstract": "Background: Giant ventral hernias and loss-of-domain abdominal wall defects remain challenging because reintegration of hernia contents may increase intra-abdominal pressure and impair postoperative respiratory function.\n\nMethods/protocol: We describe a structured institutional protocol that integrates abdominopelvic CT volumetry, the hernia sac/abdominal cavity volume ratio, respiratory function testing during progressive simulated abdominal occupation, preoperative botulinum toxin, progressive pneumoperitoneum, transversus abdominis release and, only in selected high-risk cases, volume transposition.\n\nClinical implications: The protocol is intended to support individualized surgical planning by estimating both abdominal and respiratory consequences before definitive reconstruction.\n\nConclusions: This manuscript should be interpreted as a methodological protocol and feasibility proposal rather than a validated predictive clinical model. Prospective validation with standardized endpoints is ongoing and will be required before the thresholds can be considered externally validated.",
  "abstract_shown": true,
  "affiliations": [
    "Department of General and Digestive Surgery, Hospital de Antequera, Málaga, Spain",
    "DOXA Microfluidics, Málaga, Spain",
    "Department of Anesthesiology, Hospital de Antequera, Málaga, Spain",
    "Department of Radiology, Hospital de Antequera, Málaga, Spain"
  ],
  "article_type": "brief report",
  "arxiv": null,
  "author_total": 7,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "F. J. Pérez Lara"
    },
    {
      "affs": [
        0
      ],
      "name": "F. J. Moya Donoso"
    },
    {
      "affs": [
        1
      ],
      "name": "R. Zubizarreta Jiménez"
    },
    {
      "affs": [
        2
      ],
      "name": "E. Ojeda Leiva"
    },
    {
      "affs": [
        3
      ],
      "name": "F. J. Muñoz Castillo"
    },
    {
      "affs": [
        0
      ],
      "name": "C. Rueda Cruces"
    },
    {
      "affs": [
        0
      ],
      "name": "C. Ríos Navas"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/fpwzjcy811r5w.bib",
  "cited_by": 0,
  "doi": "10.3389/fsurg.2026.1814887",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13696924/",
  "id": "fpwzjcy811r5w",
  "issns": [
    "2296-875X"
  ],
  "landing_url": "https://doi.org/10.3389/fsurg.2026.1814887",
  "language": "en",
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Brief Research Report"
    ],
    [
      "openalex",
      "2746|Hernia repair and management"
    ]
  ],
  "openalex": "W7221505383",
  "pdf_url": "https://europepmc.org/articles/PMC13696924?pdf=render",
  "pmcid": "PMC13696924",
  "pmid": "42935692",
  "published": "2026-10-12",
  "publisher": "Frontiers Media SA",
  "ris": "https://research.draconitic.com/paper/fpwzjcy811r5w.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:18:11Z",
      "native_id": "PMC13696924",
      "source": "pmc",
      "url": "https://doi.org/10.3389/fsurg.2026.1814887"
    },
    {
      "first_seen": "2026-10-30T12:22:12Z",
      "native_id": "MED:42935692",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42935692"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2746|Hernia repair and management",
      "subfield": "surgery"
    }
  ],
  "title": "A treatment protocol for giant ventral hernias based on predicted postoperative respiratory function",
  "title_text": "A treatment protocol for giant ventral hernias based on predicted postoperative respiratory function",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:34:10Z",
  "url": "https://research.draconitic.com/paper/fpwzjcy811r5w",
  "venue": "Frontiers in Surgery",
  "versions": []
}