● Chubu cha singano cha pneumoperitoneum chapangidwa mwapadera kuti chikhazikitse pneumoperitoneum, kuboola ndi kupumitsa mpweya kuti chilekanitse peritoneum ndi ziwalo.
● Kapangidwe ka kuboola nsonga yozungulira, ndi nsonga ya singano yopindika kukhala arc yosalala kuti achepetse kuwonongeka kwa ziwalo zam'mimba
● Singano ili ndi mabowo angapo am'mbali okhala ndi kufalikira kofanana komanso kutsegula bwino, zomwe zimathandiza kuti pakhale kulowetsedwa kwa carbon dioxide yofanana komanso kukhazikika kwa pneumoperitoneum yokhazikika mwachangu.
● Kapangidwe kolumikizira mchira woyaka, kogwirizana ndi mawonekedwe akuluakulu a ma valve a mpweya, komwe kumapereka chitseko chabwino kwambiri cholumikizira ndi kusewera kuti mpweya usatuluke
● Chitetezo cha mutu wozungulira + woyaka kawiri: mutu wozungulira umachepetsa kuvulala, kulumikizana koyaka kumalimbitsa cholumikizira, kuchepetsa zolakwika pakugwira ntchito