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

 

Submucosal Lipoma, Transverse Colon: 61

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

   
 

The seromuscular edge of the bowel is held gently with atraumatic DeBakey forceps about a centimeter away from the site of the stitch.       

Notes:

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Submucosal Lipoma, Transverse Colon: 62

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

   
 

The needle is placed so that it gets a substantial bite of muscularis and the important submucosal layer, but only a small bite of the edge of the mucosa. As soon as the mucosa is cut it begins to become edematous. Including a large bit of mucosa in the stitch will make a bulky anastomosis which might be partially occluded. In addition, when the edema in a bulky bite of mucosa subsides, the stitch will loosen with the potential for leak.      

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Submucosal Lipoma, Transverse Colon: 63

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

   
 

The first bite is taken 4 mm back from the cut edge and passed perpendicular to the cut edge of the bowel.       

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This page was last modified on 1/25/2005.