PMC6078056_01
A self-retaining retractor is positioned prior to making the midline abdominal incision.
gr1.jpg
PMC6078056_01_gr1.jpg
fig0005
The patient was taken to surgery for cytoreductive second-look surgery with HIPEC by an experienced peritoneal surface malignancy team (Fig. 1).
Through a long midline abdominal incision with resection of the old scar and umbilicus, the abdomen was opened. Initial exposure was maintained using skin traction sutures fixed to a self-retaining retractor.
gr2.jpg
PMC6078056_01_gr2.jpg
fig0010
Tapered Esophageal Bougie (Teleflex Incorporated TFX, The Pilling  Brand). The combined procedure required 8 h (Fig. 2, Fig. 3).