Pneumoperitoneum: Metabolic and Mechanical Effects

  • Frederick L. Greene


The history of the application of pneumoperitoneum is fascinating from the aspect of both diseases treated with this concept and the development of abdominal air insufflation from a technical standpoint [1]. The name George Kelling is woven into the modern use of pneumoperitoneum for patients undergoing laparoscopy. Kelling, like many of his contemporary colleagues, considered that pneumoperitoneum might have therapeutic use. He advocated the use of this technique, which he called lufttamponade, for the treatment of patients with significant intestinal and intraabdominal bleeding. Kelling placed a cystoscope into the abdominal cavity of animals to identify organ ischemia, which may be secondary to aggressive instillation of intraabdominal room air.


Laparoscopic Procedure Intraabdominal Pressure Abdominal Tuberculosis Intraabdominal Bleeding Carbon Dioxide Insufflation 
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Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  • Frederick L. Greene
    • 1
  1. 1.Department of SurgeryCarolinas Medical CenterCharlotteUSA

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