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Anastomotic Construction

  • Steven R. HuntEmail author
  • Matthew L. Silviera
Chapter

Abstract

This chapter summarizes the various techniques for common abdominal and pelvic anastomoses. General principles of anastomotic construction are summarized, including a review of the basic anastomotic types, techniques, equipment, and common problems leading to anastomotic complications. Controversial issues such as treatment of mesenteric defects, anastomotic drainage, and fecal diversion are presented. This chapter contains detailed descriptions for the creation of simple and complex anastomoses. The rationale and creation of various fecal reservoirs are explained. Finally, troubleshooting techniques for various intraoperative complications are discussed.

Keywords

Anastomotic construction Hand-sewn anastomosis Anastomotic drainage Fecal diversion Neorectal reservoir Anastomotic salvage 

Supplementary material

Video 9.1

Extracorporeal assessment of the left colon prior to anastomosis using indocyanine green (ICG) (MP4 130,196 kb)

Video 9.2

Proctoscopic anastomotic view of a colorectal rectal anastomosis (MP4 260,584 kb)

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Authors and Affiliations

  1. 1.Section of Colon and Rectal Surgery, Division of General Surgery, Department of Surgery, Barnes Jewish HospitalWashington University School of MedicineSt. LouisUSA

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