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  • Title: A mesenteric window to approach a posterior side leak after laparoscopic assisted stapled strictureplasty for Crohn's disease.
    Author: Fiume I, Napolitano V, del Genio G, Rossetti G, Del Genio A.
    Journal: Ann Ital Chir; 2006; 77(3):259-62. PubMed ID: 17137042.
    Abstract:
    Strictureplasty leak in patients with Crohn's disease increases considerably morbidity rate. Intra-operative evaluation of the integrity of suture line and proficient management of any leakage after strictureplasty is mandatory to prevent post-operative complications. When a leakage is detected at the posterior side, through intra-operative insufflation or methylene blue test, it may be difficult to repair as the suture line is completely covered up by mesentery. The AA. describe the creation of a mesenteric window to reinforce the posterior side of a side-to-side stapled strictureplasty performed by laparoscopic assisted procedure. As far as we know, this new technical strategy may allow avoiding resection of small bowel.
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