Surgical Film Library-Complete Abdominal Peritonectomy

Video Transcription

Video Summary

The presentation details the total parietal peritonectomy surgical procedure, beginning with a Xifu pubic skin incision and careful dissection along the linea alba to expose and separate the parietal peritoneum. Traction and precise dissection techniques are emphasized, especially when dealing with carcinomatosis-related adhesions. The procedure includes bladder and lateral gutter dissections, careful identification of ureters and vessels, and management of structures like the spleen and liver. The use of mounted pads or electrocautery is discussed for separating peritoneum from muscle. Caution is necessary near critical structures such as the diaphragm, vena cava, and hepatic vessels. The goal is complete peritoneum removal to expose tumors.

Asset Subtitle

Houssein El Hajj, France

Meta Tag

Route Open

Skill Level Expert

Surgical Location Mid-abdomen

Keywords

Open

Mid-abdomen

Expert

total parietal peritonectomy

linea alba dissection

carcinomatosis adhesions

ureter and vessel identification

peritoneum removal