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Total Colectomy and J-Pouch Images

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Position for total colectomy.
VID 216, frame 1

colP4001

 

Midline incision.
VID 216, frame 2

colP4002

 

Cecum mobilized.
VID 216, frame 3

colP4003

 

Right colon mobilized.
VID 216, frame 4

colP4004

 

Hepatic flexure.
VID 216, frame 5

colP4005

 

Omentum and transverse colon.
VID 216, frame 6

colP4006

 

Gastrocolic omentum.
VID 216, frame 7

colP4007

 

Gastrocolic omentum (illustration).
VID 216, frame 8

colG4049

 

Left-sided peritoneal reflection.
VID 216, frame 9

colP4008

 

Proximal descending colon.
VID 216, frame 10

colP4009

 

Division of left colon mesentery.
VID 216, frame 11

colP4010

 

Left colon divided.
VID 216, frame 12

colP4011

 

Ileal mesentery opened.
VID 216, frame 13

colP4012

 

Ileum divided.
VID 216, frame 14

colP4013

 

Division of colonic mesentery.
VID 216, frame 15

colP4014

 

Colonic vessels.
VID 216, frame 16

colL4015

 

Rectum.
VID 216, frame 17

colP4016

 

Mesorectum.
VID 216, frame 18

colP4017

 

Superior rectal artery.
VID 216, frame 19

colP4018

 

Distal mesorectal dissection.
VID 216, frame 20

colP4019

 

Deep posterior dissection.
VID 216, frame 21

colP4020

 

Anterior rectal dissection.
VID 216, frame 22

colP4021

 

Thoraco-abdominal stapler.
VID 216, frame 23

colP4022

 

Excised rectum.
VID 216, frame 24

colP4023

 

Rectal stump.
VID 216, frame 25

colP4024

 

Ileal mesentery.
VID 216, frame 26

colP4025

 

Folded terminal ileum.
VID 216, frame 27

colP4026

 

Measurement of length.
VID 216, frame 28

colP4027

 

Apex of loop opened.
VID 216, frame 29

colP4028

 

First application of linear stapler.
VID 216, frame 30

colP4029

 

Second application of linear stapler.
VID 216, frame 31

colP4030

 

Checking for bleeding.
VID 216, frame 32

colP4031

 

Purse string suture.
VID 216, frame 33

colP4032

 

Anvil.
VID 216, frame 34

colP4033

 

Anvil inserted.
VID 216, frame 35

colP4034

 

Purse string tied.
VID 216, frame 36

colP4035

 

End of stapler.
VID 216, frame 37

colP4036

 

Stapler inserted.
VID 216, frame 38

colP4037

 

Stapler fired.
VID 216, frame 39

colP4038

 

Colon donuts.
VID 216, frame 40

colP4039

 

Hole for temporary diverting ileostomy.
VID 216, frame 41

colP4040

 

Subcutaneous fat excision at stoma site.
VID 216, frame 42

colP4041

 

Loop of ileum brought through abdominal wall.
VID 216, frame 43

colP4042

 

Creation of loop ileostomy.
VID 216, frame 44

colP4043

 

Ileal opening.
VID 216, frame 45

colG4044

 

Maturation.
VID 216, frame 46

colG4045

 

Partially matured stoma.
VID 216, frame 47

colP4046

 

Colon specimen opened.
VID 216, frame 48

colP4047

 

Mucosa of the left colon.
VID 216, frame 49

colP4048

 

This page was last modified on 4/30/2000.
 

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