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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

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

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Penn State Health Milton S. Hershey Medical Center

Article Information

DOI
Publication Date	2025/07/23
Article ID	490
Production ID	0490
Volume	2025
Issue	490
https://doi.org/10.24296/jomi/490