Bowel Anastomosis - End to Side Handsewn
This Bowel Anastomosis – End to Side Handsewn course will teach you:
- How to connect two sides of intestine End to side, handsewn. This can be done either to restore continuity after resection of a diseased part of the bowel or to bypass a diseased part of the bowel that is unresectable.
Special attention is paid to the following hazards you may encounter during this Bowel Anastomosis – End to Side Handsewn procedure:
- Entrapment of small intestine
With the following tips you might perform this Bowel Anastomosis – End to Side Handsewn procedure even better:
- Small intestine transection
- Small intestine end closing
- Determination of the location of the anastomosis
- Opening of the small intestine
- Fixation of the cranial corner of the small intestine
- Extra suture row at the anterior wall
- Closing the mesentery
After studying this Bowel Anastomosis – End to Side Handsewn course you are familiar with the most common complications:
- Anastomotic leakage
- Anastomotic stenosis
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Step by step
Small Intestine End Closing
Transect the small intestine using a stapling device.
Small intestine transection
Transection may alternatively be performed with a scalpel. In this case it is advised to position three non-crushing clamps onto the small intestine before transection. Two on the end bowel so that the most distal one can be removed to make way for the suture row to close this end.
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