A systematic review of the use of progressive preoperative pneumoperitoneum since its inception.

Hernia : the Journal of Hernias and Abdominal Wall Surgery
J Martínez-HoedJ Bueno-Lledó

Abstract

Preoperative progressive pneumoperitoneum (PPP) is a technique that has been used since 1947 to expand the abdominal cavity volume, for presurgical preparation of patients with large hernias. This systematic review attempts to answer some unresolved questions about PPP, while using the evidence to clarify the different forms that the procedure has taken over time. The purpose of the paper was to analyze the literature about PPP and gather information about the procedure and its indications, advantages, and disadvantages. A systematic review was carried out according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) criteria. The database searches, in English and Spanish, were made using the terms "preoperative pneumoperitoneum," "progressive pneumoperitoneum," "preoperative pneumoperitoneum," and "progressive pneumoperitoneum," for the period between 1 January 1940 and 31 May 2019. Indications, techniques, results, and complications were registered. The statistical analysis was based on means, standard deviations, medians, mode, and interquartile ranges for quantitative variables, and frequencies and percentages for categories. The qualitative synthesis was made on the basis of 53 articles that repo...Continue Reading

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Citations

Nov 21, 2020·Hernia : the Journal of Hernias and Abdominal Wall Surgery·J A WegdamS W Nienhuijs
Aug 4, 2021·Hernia : the Journal of Hernias and Abdominal Wall Surgery·Abdul Rahman Al SadairiYohann Renard

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