title: A mesenteric window to approach a posterior side leak after laparoscopic assisted stapled strictureplasty for Crohn's disease.
abstract: Strictureplasty leak in patients with Crohn's disease increases considerably morbidity rate. Intra-operative evaluation of the integrity of suture line and proficient management of any leakage after strictureplasty is mandatory to prevent post-operative complications. When a leakage is detected at the posterior side, through intra-operative insufflation or methylene blue test, it may be difficult to repair as the suture line is completely covered up by mesentery. The AA. describe the creation of a mesenteric window to reinforce the posterior side of a side-to-side stapled strictureplasty performed by laparoscopic assisted procedure. As far as we know, this new technical strategy may allow avoiding resection of small bowel.
authors.affiliation: Seconda Università degli Studi di Napoli, I Divisione di Chirurgia Generale e Gastroenterologica.
authors.forename: Irene
authors.initials: I
authors.lastname: Fiume
authors.forename: Vincenzo
authors.initials: V
authors.lastname: Napolitano
authors.forename: Gianmattia
authors.initials: G
authors.lastname: del Genio
authors.forename: Gianluca
authors.initials: G
authors.lastname: Rossetti
authors.forename: Alberto
authors.initials: A
authors.lastname: Del Genio
mesh_terms: D003424:Crohn Disease / Q000601:surgery*; D013505:Digestive System Surgical Procedures / Q000379:methods; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008643:Mesentery; D008875:Middle Aged; D017792:Surgical Stapling