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?
Where to incise when removing a focal foreign body via enterotomy?
Because it is best to incise into a portion of intestine that has not been disrupted or compromised by the migrating foreign body, one should strive to perform the enterotomy just aboral (distal) to the foreign body. Make an incision long enough to prevent tearing during foreign body extraction. This is not always possible since large foreign bodies often can’t be milked into the more normal sized aborad intestine. In that case, a portion of the incision will be made over the affected region of intestine, which increases the risk of dehiscence.
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