Surgical Film Library-Side-to-side small bowel anastomosis

Video Transcription

Video Summary

A 41-year-old woman with a previous right oophorectomy for a primary ovarian carcinoid tumor underwent staging with 68-gallium PET-CT showing lymph node uptake, prompting mesenteric lymphadenectomy. During surgery, ischemic changes were found in adjacent small bowel, necessitating resection and side-to-side anastomosis using an endoscopic stapler. Careful port placement facilitated optimal access and handling. The anastomosis was created by stapling and closed with a two-layer running suture, and the mesenteric defect was closed to prevent herniation. The procedure focused on preserving bowel orientation and mesenteric integrity for successful reconstruction.

Asset Subtitle

Beatriz Coelho, Brazil

Meta Tag

Procedure Type Techniques for small bowel anastomosis (Handsewn vs staple, end to end, side to side, side to end)

Route MIS-Laparoscopic

Skill Level Intermediate

Surgical Location Mid-abdomen

Keywords

MIS-Laparoscopic

Mid-abdomen

Intermediate

Techniques for small bowel anastomosis (Handsewn vs staple, end to end, side to side, side to end)

ovarian carcinoid tumor

68-gallium PET-CT

mesenteric lymphadenectomy

small bowel resection

endoscopic stapler anastomosis