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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.<\/jats:p>","DOI":"10.1136\/bcr-2022-248984","type":"journal-article","created":{"date-parts":[[2022,5,19]],"date-time":"2022-05-19T11:50:26Z","timestamp":1652961026000},"page":"e248984","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Accidental peritoneum-cutaneous fistula after insufflation of preoperative progressive pneumoperitoneum in a large incisional hernia with loss of domain"],"prefix":"10.1136","volume":"15","author":[{"given":"Pablo","family":"Guerrero-Antolino","sequence":"first","affiliation":[{"name":"General Surgery, Hospital La Fe, Valencia, Comunidad Valenciana, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Salvador","family":"Pous-Serrano","sequence":"additional","affiliation":[{"name":"General Surgery, Hospital La Fe, Valencia, Comunidad Valenciana, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jose","family":"Bueno-Lledo","sequence":"additional","affiliation":[{"name":"General Surgery, Hospital La Fe, Valencia, Comunidad Valenciana, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio","family":"Torregrosa-Gallud","sequence":"additional","affiliation":[{"name":"General Surgery, Hospital La Fe, Valencia, Comunidad Valenciana, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2022,5,19]]},"reference":[{"key":"2025082710420444000_15.5.e248984.1","first-page":"945","article-title":"Chronic eventrations and large hernias; preoperative treatment by progressive pneumoperitomeum; original procedure","volume":"22","author":"Moreno","year":"1947","journal-title":"Surgery"},{"key":"2025082710420444000_15.5.e248984.2","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-008-0436-3"},{"key":"2025082710420444000_15.5.e248984.3","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-005-0040-8"},{"key":"2025082710420444000_15.5.e248984.4","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-018-6089-0"},{"key":"2025082710420444000_15.5.e248984.5","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1007\/s10029-017-1582-2","article-title":"Preoperative progressive pneumoperitoneum and botulinum toxin type A in patients with large incisional hernia","volume":"21","author":"Bueno-Lled\u00f3","year":"2017","journal-title":"Hernia"},{"key":"2025082710420444000_15.5.e248984.6","unstructured":"Mougin N , Venchiarutti V , Abba J . Is progressive preoperative pneumoperitoneum (PPP) really safe? Assessment of its specific morbi-mortality in a ret- rospective study over 152 patients. Human health and pathology, <dumas-01205492&gt, 2015. Available: https:\/\/dumas.ccsd.cnrs.fr\/dumas-01205 492 [Accessed 2 Jun 2021]."},{"key":"2025082710420444000_15.5.e248984.7","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-009-0560-8"},{"key":"2025082710420444000_15.5.e248984.8","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-011-0832-y"},{"key":"2025082710420444000_15.5.e248984.9","doi-asserted-by":"crossref","first-page":"1443-1458","DOI":"10.1007\/s10029-020-02247-x","article-title":"A systematic review of the use of progressive preoperative pneumoperitoneum since its inception","volume":"25","author":"Mart\u00ednez-Hoed","year":"2021","journal-title":"Hernia"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2022-248984","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T17:42:15Z","timestamp":1756316535000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2022-248984"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,5]]},"references-count":9,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2022,5,19]]},"published-print":{"date-parts":[[2022,5]]}},"alternative-id":["10.1136\/bcr-2022-248984"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2022-248984","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,5]]}}}