Reversal of a Diversion Loop Ileostomy in a Patient with a Prior Gracilis Transposition Flap for Rectovaginal Fistula Due to Crohn’s Disease
2750 views
Procedure Outline
Table of Contents
- 1. Introduction
- 2. Mobilization of Loop Ileostomy and Afferent and Efferent Limbs
- 3. Betadine Under Pressure to Test for any Seromyotomies
- 4. Dissection Through Mesentery
- 5. Bowel Divisions to Resect Ileostomy
- 6. Stapled Side-to-Side Anastomosis
- 7. Apical Line Closure with GIA 100 Stapler
- 8. Reposition Small Bowel into Abdomen
- 9. Fascial Closure with Interrupted PDS
- 10. Excision of any Hernia Sac
- 11. Closure
- Excise Tips of Staple Lines
- Perform Anastomosis
- Remove Corners for Rectangular Closure
- Hemostasis
- Hemostasis
- Cross-Stitches
