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(Chest. 1955;27:553-557.)
© 1955 American College of Chest Physicians

Safer Pneumoperitoneum Refills

JOHN B. DEVINE M.D., F.C.C.P.1 and EDWARD DUNNER M.D., F.C.C.P.2

1 Department of Internal Medicine, St. Louis University; Attending Physician, Veterans Administration Regional Office, St. Louis, Missouri.
2 Chief, Education & Training, Tuberculosis Service, Veterans Administration, Washington, D. C.

As shown in the illustrations, the height of the abdominal air space in a patient with artifically induced pneumoperitoneum is increased on deep inspiration as compared with expiration. It is therefore concluded that for those patients receiving pneumoperitoneum refills in whom an appreciable air space is not present, the insertion of the needle at the end of a deep inspiration is a safer procedure to reduce the danger of injuring the abdominal viscera.






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