Laparoscopic-Assisted Takedown of a Gastrocutaneous Fistula
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Procedure Outline
Table of Contents
- 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
- Pre-op CT Scan
