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  • Title
  • 1. Introduction
  • 2. Injection of Local Anesthetic
  • 3. Incision and Laparoscopic Access to the Abdomen
  • 4. Placement of Remaining Ports
  • 5. Lysis of Adhesions and Making Windows Around Gastrostomy
  • 6. Takedown of Stomach
  • 7. Endoscopy
  • 8. Staple Transection
  • 9. Leak Test and Check for Bleeding
  • 10. Open Portion and Excision of Gastrocutaneous Fistula Tract
  • 11. Abdominal Wall Defect Closure
  • 12. Final Inspection
  • 13. Port Sites Closure Leaving Fistula Tract Wound Packed Open
  • 14. Post-op Remarks

Article type:Descriptions of Clinical and Surgical Procedures

Laparoscopic-Assisted Takedown of a Gastrocutaneous Fistula

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Victoria J. Grille, MD1; Eric M. Pauli, MD, FACS, FASGE2
1Jersey Shore University Medical Center
2Penn State Milton S. Hershey Medical Center

General Surgery
CME Accredited
1.25 Credit(s)

Earn Continuing Education Credit

Accreditation: 1.25 AMA PRA Category 1 Credit(TM)
Provider: Jointly provided with Pinnacle Conference, LLC

In support of improving patient care, this activity has been planned and implemented by JOMI and Pinnacle Conference, LLC. Pinnacle Conference, LLC is jointly accredited by ACCME, ACPE, and ANCC to provide continuing education for the healthcare team.

Manuscript Format: Full Text

Procedure Outline

Table of Contents

  1. 1. Introduction
    1. 2. Injection of Local Anesthetic
      1. 3. Incision and Laparoscopic Access to the Abdomen
        1. 4. Placement of Remaining Ports
          1. 5. Lysis of Adhesions and Making Windows Around Gastrostomy
            1. 6. Takedown of Stomach
              1. 7. Endoscopy
                1. 8. Staple Transection
                  1. 9. Leak Test and Check for Bleeding
                    1. 10. Open Portion and Excision of Gastrocutaneous Fistula Tract
                      1. 11. Abdominal Wall Defect Closure
                        1. 12. Final Inspection
                          1. 13. Port Sites Closure Leaving Fistula Tract Wound Packed Open
                            1. 14. Post-op Remarks

                              1. Introduction

                              1. Pre-op CT Scan

                              2. Injection of Local Anesthetic

                              3. Incision and Laparoscopic Access to the Abdomen

                              4. Placement of Remaining Ports

                              5. Lysis of Adhesions and Making Windows Around Gastrostomy

                              6. Takedown of Stomach

                              7. Endoscopy

                              8. Staple Transection

                              9. Leak Test and Check for Bleeding

                              10. Open Portion and Excision of Gastrocutaneous Fistula Tract

                              11. Abdominal Wall Defect Closure

                              12. Final Inspection

                              13. Port Sites Closure Leaving Fistula Tract Wound Packed Open

                              14. Post-op Remarks

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                              Authors

                              Filmed At:

                              Penn State Health Milton S. Hershey Medical Center

                              Article Information

                              Publication Date
                              Article ID490
                              Production ID0490
                              Volume2025
                              Issue490
                              DOI
                              https://doi.org/10.24296/jomi/490