Supraceliac Aorta-to-SMA Bypass with Ileocecectomy for Acute-on-Chronic Mesenteric Ischemia Complicated by Bowel Necrosis and Perforation
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- Title
- 1. Introduction
- 2. Access to the Abdomen
- 3. Encountered Bowel Perforation and Massive Ischemia - Determine Extent and Adjust Approach
- 4. Distal/SMA Exposure and Dissection
- 5. Mobilization of the Left Lobe of the Liver
- 6. Supraceliac Exposure
- 7. Control Adventitial Tears with Pledgeted Sutures
- 8. Retropancreatic Tunnel
- 9. Prepare Conduit
- 10. Place Side-Biting Clamp on Aorta
- 11. Arteriotomy
- 12. Aortic Punch to Remove Ellipse of Aorta
- 13. Proximal Anastomosis of Conduit to Aorta
- 14. Pass Conduit Through Retropancreatic Tunnel
- 15. Distal Anastomosis of Conduit
- 16. Reperfusion
- 17. Test Anastomoses
- 18. Final Inspection and Hemostasis
- 19. Closure
- 20. Post-op Remarks
English
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Authors
Filmed At:
UAB Hospital
Article Information
| Publication Date | ||
|---|---|---|
| Article ID | 352 | |
| Production ID | 0352 | |
| Volume | 2025 | |
| Issue | 352 | |
| DOI | ||
| https://doi.org/10.24296/jomi/352 | ||