The technique is illustrated with descendorectostomy serving as an example (see also open rectal resection). The rectum is transected with a linear stapler.
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Resecting the rectum
![Resecting the rectum]()
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Dissecting the wall of the descending colon
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Remark: Since this is a text-to-speech computer voice, it may mispronounce some medical terminology.Free the section of intestine to be anastomosed from the attached tissue over a distance of 5-10 mm.
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Arming the proximal stump with a purse-string suture
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Remark: Since this is a text-to-speech computer voice, it may mispronounce some medical terminology.First, clean and disinfect the proximal stump of the large bowel with a swab (e.g., soaked in povidone-iodine) (not illustrated). Then preplace an over-and-over purse-string suture of strong monofilament material with stitches every 4 mm Finally, insert the anvil and tie the purse string suture on the anvil shaft.
Note: The purse-string suture may also be fashioned with a purse-string clamp and a double-ended suture with straight needles.
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Inserting the stapler transanal
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Remark: Since this is a text-to-speech computer voice, it may mispronounce some medical terminology.Insert the stapler transanally and pierce the staple line with the trocar of the staple housing.
Note: In the video, the trocar has already been removed.
Connecting anvil and staple housing
Slide the anvil shaft over the trocar until the anvil snaps into fully seated position. ... - Opera
Slide the anvil shaft over the trocar until the anvil snaps into fully seated position. ... - Opera
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