Anastomotic technique, gastrointestinal, end-to-side, open, continuous hand suture, double layer - general and visceral surgery
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Preparing the intestinal wall
Intestinal suture step 1A - double-layered suture - posterior wall
Due to the short gastric mesentery, the anastomosis cannot be rotated. Therefore, a so-called non-rotating technique is used here.
This comprises a double-layered suture technique (with PDS 4-0), with the posterior wall being anastomosed first.Start with a seromuscular continuous suture. This apposes the posterior wall of the duodenum with the posterior wall of the jejunum.
Keep the suture ends as stay sutures for orientation in the next step.
Intestinal suture step 1B - double-layered suture - posterior wall
Intestinal suture step 2A - double-layered suture - anterior wall
Intestinal suture step 2B - double-layered suture - anterior wall
Inspecting the anastomosis
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