A mesenteric window to approach a posterior side leak after laparoscopic assisted stapled strictureplasty for Crohn's disease.
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.
Fiume
Irene
I
Seconda Università degli Studi di Napoli, I Divisione di Chirurgia Generale e Gastroenterologica.
Napolitano
Vincenzo
V
del Genio
Gianmattia
G
Rossetti
Gianluca
G
Del Genio
Alberto
A
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