Open Sigmoidectomy - Neoplastic
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Open Sigmoidectomy - Neoplastic

The Open Sigmoidectomy – Neoplastic course will teach you:

  • To resect the sigmoid colon performing an open procedure, in order to remove a malignancy

Special attention is paid to the following hazards you may encounter during the Open Sigmoidectomy – Neoplastic:

  • Abdominal organ injury during opening of the abdominal wall
  • Injury to ureter and gonadal vessels
  • Colon injury due to clamps
  • Small intestine entrapment

With the following tips you might perform the Open Sigmoidectomy – Neoplastic even better:

  • Small intestine mobilization
  • Dissection in the avascular plane
  • Left colic artery preservation
  • Mesocolonic arterial branch transection
  • Determination of the transection site
  • Prevention of contamination by fecal spill
  • Fixation of colon ends before anastomosis
  • Closure of the posterior and anterior wall of the bowel
  • Closure of the mesentery

After studying the Open Sigmoidectomy – Neoplastic course you are familiar with the most common complications:

  • Ureteral injury
  • Postoperative ileus
  • Anastomotic leakage

You might also be interested in:

Open Total Mesorectal Excision

Step by step

Abdominal cavity approach

Skin

Mark

Mark the skin in the midline, starting at the umbilicus, extending distally to the level of the pubic symphysis.

Incise

Incise the skin over the marked line.

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