The technique is shown in the context of a classic Whipple's operation using a Braun's foot point anastomosis. It is performed here in two layers. A single-layer variant of the side-to-side anastomosis can be found under Jejunum Segment Resection with Side-to-Side Anastomosis.
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Selection of the Intestinal Loops
Soundsettings -
Bowel Suture Step 1A – Double-Row Suture – Posterior Wall
Soundsettings A so-called non-everting technique is used here.
This consists of a double-row full-thickness suture, with the posterior wall being worked on first. Suture material is PDS 5-0.First, a continuous seromuscular suture is started. In doing so, the two posterior walls are approximated.
For better orientation in the next steps, the suture ends remain as stay sutures.
Intestinal Suture Step 1B – Double-Row Suture – Posterior Wall
Now, the jejunum is opened on both sides of the previously placed suture using the electrocautery.T
Now, the jejunum is opened on both sides of the previously placed suture using the electrocautery.T
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