c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Laparoscopic Soave: 28

A D V E R T I S E M E N T

   
 

In this case, the Hartmann's pouch was quite low. It was easily removed with the mucosal sleeve at this point.       

Notes:

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Laparoscopic Soave: 29

A D V E R T I S E M E N T

   
 

If this case were a primary pull-through without a colostomy, the colon would be pulled out through the opening and the mesentery divided as it appeared. A biopsy would be taken at the suspected location, and lack of ganglion cells confirmed by frozen section.      

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Laparoscopic Soave: 30

A D V E R T I S E M E N T

   
 

The remaining muscle sleeve, after the distal mucosa and more proximal colon have been removed.       

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This page was last modified on 3/20/2000.