The nasoduodenal tube previously inserted is pulled through the anastomosis
under vision and in case of doubts of distal obstruction saline is injected to test the canalization; finally, the ventral part of the anastomosis
is laid to complete it, Figures 5(a) and 5(b).
The abdominal cavity was reopened and the degree of adhesion formation was assessed using the following scale: 0 = no adhesions; 1 = minimal adhesions, mainly between the anastomosis
and the omentum; 2 = moderate adhesions occurring between the omentum and the anastomotic site and between the anastomosis
and a loop of small bowel; and 3 = severe and extensive adhesions, including abscess formation .
Caption: Figure 3: Start of the E-E anastomosis
between tubulised aortic patch and polar renal artery.
Key words: Stapled sutures; EEA stapler; hand-sewn technique; end-to-end anastomosis
Owing to adverse effects of pelvic irradiation on wound healing and colorectal anastomosis
leakage as well as significant complications of fecal diversion by temporary loop ileostomy, we aimed to investigate the effect of HAM on the prevention of colorectal anastomosis
leakage after neoadjuvant radiotherapy.
There was significant difference (p < 0.05) in AL between stapled and hand-sewn colorectal anastomosis
. A Cochrane review of colorectal anastomosis
after right hemicolectomy showed that the total anastomotic leakage rate in the stapler group was significantly reduced.17 An interesting subgroup analysis conducted by Friend PJ et al.18 found that there was more anastomotic leakage in hand-sewn colorectal anastomosis
when analysing the anastomosis
Revision of anastomosis
was done in 3 cases (10%) of AL.
All five patients underwent total laparoscopic pancreaticoduodenectomy and intracorporeal anastomosis
. Conversion laparotomy was not made during the operations.
Group A(arginine+glutamine+HMB): Received7 days of standard chow food plus arginine+glutamine+HMB rich diet preoperatively followed by right colonic transection and end-to-end anastomosis
and received 7 days of standard chow food plus arginine+glutamine+HMB rich diet postoperatively before being sacrificed (n=10).
The pathology report described: a tumor with solid architecture, entirely invading the muscularis propria and extending into the perigastric adipose tissue without infiltration of the serosa; infiltration of the small intestine at the anastomosis
The purpose of this study is to investigate the surgical recurrence of Chinese populations suffering from CD with primary bowel resection and one-stage anastomosis
in a specialist IBD medical center at the Nanjing General Hospital in Nanjing, in eastern China, and to identify risk factors for surgical recurrence of CD.
In this video, we review some background information surrounding a tubal reversal, followed by demonstration of a robotic interpretation of a 2-stitch anastomosis
technique in a patient who successfully conceived and delivered.