Preoperative progressive pneumoperitoneum has represented an important advancement in achieving the reintroduction of large herniated volumes into the abdominal cavity. However, this technique is not free of complications. We present a case of a man in his 70s with an accidental peritoneal-cutaneous fistula, secondary to the excessive pressure of the pneumoperitoneum, during the preparation of a large incisional hernia with loss of domain intervention.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9121406PMC
http://dx.doi.org/10.1136/bcr-2022-248984DOI Listing

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