A mesenteric window to approach a posterior side leak after laparoscopic assisted stapled strictureplasty for Crohn’s disease
Irene Fiume 1, Vincenzo Napolitano 1, Gianmattia del Genio 1, Gianluca Rossetti 1, Alberto Del Genio 1
Affiliation
Article Info
1 Seconda Università degli Studi di Napoli, I Divisione di Chirurgia Generale e Gastroenterologica.
Abstract
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 postoperative 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.
Keywords
- Mesenteric window
- Posterior side leakage
- Stapled strictureplasty
- Surgical technique
