Anastomotic technique, gastrointestinal, end-to-end, open, continuous, hand suture, rotation technique

  1. Selecting the intestinal loop

    Video
    Selecting the intestinal loop
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    As an example, the suture is demonstrated in a right-sided hemicolectomy. An ileotransversostomy is planned. Owing to the long mesenteries, the intestine can be rotated here; therefore, the anterior wall will be sutured first, and after rotating the intestine this will be followed by the posterior wall.

Dissecting the intestinal wall

First, dissect free both intestinal walls at the planned anastomosis. Limit skeletonization of the

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