Chapter 11: Table of Contents
- 11.1 Intestinal Biopsy
- 11.2 Intestinal Biopsy Quiz
- 11.3 Intestinal Resection and Anastomosis
- Intestinal Apposition and Closure
- Suture the mesenteric rent, leak test, and omentalize
- Video: Intestinal Resection and Anastomosis
- How to accommodate discrepancies in luminal size when performing a resection-anastomosis
- Decision-making in the management of gastrointestinal foreign bodies
- Decision-making in the management of gastrointestinal foreign bodies: continued
- Decision-making in the management of gastrointestinal foreign bodies continued
- Enterotomy vs. Resection-Anastomosis
- Assessing Intestinal Viability
- Where to incise when removing a focal foreign body via enterotomy?
- Linear foreign body removal
- Where to cut when performing a resection-anastomosis
- Prognosis- foreign body
- Complications
- Use of Antibiotics?
Suture the mesenteric rent, leak test, and omentalize
- The mesenteric rent should be sutured to prevent incarceration of intestinal loops but care should be taken not to include the mesenteric vessels supplying the anastomosed intestine in the suture line.
- Pressure leak test (using a syringe filled with saline and a small gauge needle) all enterotomies and anastomoses.
- Omentalize all enterotomies and anastomoses by suturing omentum overtop of the enterotomy incision. This might prevent or contain small leaks.
- Serosal patching can be used as an alternative to omentalization. It is more difficult to perform but can provide superior coverage for tenuous enterotomy sites.
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