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Preoperative Pneumoperitoneum: Low-Risk Surgical Adjunct to the Surgical Management of Dense Abdominal Adhesions

Authors :
Peter F. Crookes
Suzanne L. Palmer
Sherwin Abdoli
Source :
Journal of Vascular and Interventional Radiology. 30:761-764
Publication Year :
2019
Publisher :
Elsevier BV, 2019.

Abstract

Surgical lysis of intra-abdominal adhesions is associated with a high rate of complications. This brief report presents 24 patients with dense intra-abdominal adhesions who underwent preoperative progressive pneumoperitoneum (PPP) prior to surgical lysis of adhesions. PPP was successfully performed in 23 patients, with few adverse events, resulting in subjectively improved ease of intraoperative tissue dissection. One patient withdrew due to intractable pain during insufflation. The results suggest that PPP is a low-risk technique with the potential to improve access to intra-abdominal structures in patients for whom conventional surgical therapy is predicted to carry a high rate of complications.

Details

ISSN :
10510443
Volume :
30
Database :
OpenAIRE
Journal :
Journal of Vascular and Interventional Radiology
Accession number :
edsair.doi.dedup.....b3c762446615174fe25b2d250c47560f
Full Text :
https://doi.org/10.1016/j.jvir.2018.10.012