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Ann Thorac Surg 2004;77:1469-1471
© 2004 The Society of Thoracic Surgeons

How to do it

A novel technique for creation of adjustable pneumoperitoneum

M. Matej Puc, MDa, Francis J. Podbielski, MDa, A. Alan Conlan, MDa*

a Department of Surgery, Division of Thoracic Surgery, University of Massachusetts Medical Center, Worcester, Massachusetts, USA

Accepted for publication June 3, 2003.

* Address reprint requests to Dr Conlan, Division of Thoracic Surgery, University of Massachusetts Medical Center, 67 Belmont Ave, Worcester, MA, USA 01605-2657
e-mail: conlana{at}ummhc.org

Creation of a pneumoperitoneum has been demonstrated to be a useful maneuver to help eliminate postresection spaces and air leaks. However, a single instillation of air intraoperatively may not be adequate, and postoperative transabdominal administration of air is uncomfortable and potentially hazardous to the patient. We describe a simple technique that allows repeated administration of pneumoperitoneum and even provides the ability to adjust the amount of air within the abdomen. Our technique is performed at the time of the initial pulmonary resection and enables easy postoperative management of an adjustable pneumoperitoneum.






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