1 May 2006
Case ReportA mesenteric window to approach a posterior side leak after laparoscopic assisted stapled strictureplasty for Crohn’s disease
Irene Fiume 1Vincenzo Napolitano 1Gianmattia Genio 1Gianluca Rossetti 1Alberto Genio 1
Affiliations
Article Info
1 I Divisione di Chirurgia Generale e Gastroenterologica, Seconda Università degli Studi di Napoli
Ann. Ital. Chir., 2006, 77(3), 101985;
Published: 1 May 2006
Copyright © 2006 Annali Italiani di Chirurgia
This work is licensed under a Creative Commons Attribution 4.0 International License.
Abstract
Strictureplasty leak in patients with Crohn’s disease increases considerably morbidity rate. Intra-operative evaluation of the integrity of suture line and proficient management of any leakage after strictureplasty is mandatory to prevent postoperative complications. When a leakage is detected at the posterior side, through intra-operative insufflation or methylene blue test, it may be difficult to repair as the suture line is completely covered up by mesentery. The AA. describe the creation of a mesenteric window to reinforce the posterior side of a side-to-side stapled strictureplasty performed by laparoscopic assisted procedure. As far as we know, this new technical strategy may allow avoiding resection of small bowel.
Keywords
- Mesenteric window
- Posterior side leakage
- Stapled strictureplasty
- Surgical technique
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