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Complications - Jejunal segment resection with side-to-side anastomosis

  1. Intraoperative Complications

    • Bleedings from the mesentery and hematoma formation in the mesentery. Here, the bleeding must be controlled with a further deep puncture. Subsequently, careful attention must be paid to whether the bowel ends to be anastomosed are still adequately perfused; if necessary, a re-resection must be performed.
    • A massive contamination due to stool leakage should be avoided as much as possible. For this, soft bowel clamps can be placed on the bowel ends, and a moist drape should be used.
    • Bleedings from the staple line can be oversewn with a continuous suture or single button sutures.
    • In case of thread breakage during anastomosis, the suture should either be reapplied or a new thread placed and knotted.
Postoperative Complications

Extremely rare is the anastomotic insufficiency in small bowel anastomoses, as these gene

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