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.
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Selecting the intestinal loop
![Selecting the intestinal loop]()
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Dissecting the intestinal wall
![Dissecting the intestinal wall]()
Soundsettings First, dissect free both intestinal walls at the planned anastomosis. Limit skeletonization of the intestinal wall to less than 1.5 cm for the small intestine and no more than 0.5-1 cm for the large bowel. Always check for a healthy, grayish-red color of the intestinal tissue, bleeding wound edges, and palpable or visible arterial pulses in the intestinal section to be sutured.
Resecting the intestine
Block the intestine with intestinal clamps. By transecting the intestine with the scalpel perfusion
Block the intestine with intestinal clamps. By transecting the intestine with the scalpel perfusion
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