Mesenteric closure following right colectomy remains controversial and, following the advent of laparoscopic surgery, many surgeons do not routinely close the mesentery after colorectal resection. Nevertheless, especially after the introduction of operations such as right colectomy with complete mesocolic excision and ileocolic resections with extensive mesentery removal for Crohn's disease, the wide mesenteric defect resulting from the dissections can certainly expose the patients to complications such as internal hernias or volvuli. In general, mesenteric closure requires intracorporeal suturing. We describe a simple technique for the closure of the mesentery after surgical resection using polymer-ligating clips. This novel technique seems to minimize the time, effort and risk inherent to the procedure, even after large mesenteric excisions.

Sica, G., Franceschilli, M., Sensi, B., Siragusa, L., Vinci, D., Bellato, V. (2021). Mesenteric closure with polymer-ligating clips after right colectomy with complete mesocolic excision for cancer and mesentery-based ileocolic resection for Crohn's disease. TECHNIQUES IN COLOPROCTOLOGY, 25(9), 1079-1084 [10.1007/s10151-021-02493-w].

Mesenteric closure with polymer-ligating clips after right colectomy with complete mesocolic excision for cancer and mesentery-based ileocolic resection for Crohn's disease

Sica, G;
2021

Abstract

Mesenteric closure following right colectomy remains controversial and, following the advent of laparoscopic surgery, many surgeons do not routinely close the mesentery after colorectal resection. Nevertheless, especially after the introduction of operations such as right colectomy with complete mesocolic excision and ileocolic resections with extensive mesentery removal for Crohn's disease, the wide mesenteric defect resulting from the dissections can certainly expose the patients to complications such as internal hernias or volvuli. In general, mesenteric closure requires intracorporeal suturing. We describe a simple technique for the closure of the mesentery after surgical resection using polymer-ligating clips. This novel technique seems to minimize the time, effort and risk inherent to the procedure, even after large mesenteric excisions.
Pubblicato
Rilevanza internazionale
Articolo
Esperti anonimi
Settore MED/18
English
CD
CME
Mesenteric closure
Polymer-ligating clips
Colectomy
Humans
Mesentery
Polymers
Surgical Instruments
Colonic Neoplasms
Crohn Disease
Laparoscopy
Mesocolon
Sica, G., Franceschilli, M., Sensi, B., Siragusa, L., Vinci, D., Bellato, V. (2021). Mesenteric closure with polymer-ligating clips after right colectomy with complete mesocolic excision for cancer and mesentery-based ileocolic resection for Crohn's disease. TECHNIQUES IN COLOPROCTOLOGY, 25(9), 1079-1084 [10.1007/s10151-021-02493-w].
Sica, G; Franceschilli, M; Sensi, B; Siragusa, L; Vinci, D; Bellato, V
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/2108/305481
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