World Laparoscopy Hospital Contemporary Event

Laparoscopic Bowel Anastomosis Demonstration by Dr. J. S. Chowhan
Jul 19, 2014 5:50 am     Event Hits:4023     A+ | a-

Event Date: Sat - 19 Jul, 2014

Event Time: 9:10 am

Location: World Laparoscopy Hospital


Institute: WLH

The essential principles of the laparoscopic anastomosis are no different than an open anastomosis. Surgeons typically use various modifications of three techniques: hand sewn, linear stapled, or circular stapled anastomosis. As a modern laparoscopic surgeon, understanding of and also the capability to perform each are essential. The technical challenge would be to re-create the angles of instrument to organ which are accomplished in open surgery. An open abdomen, for instance, allows a surgeon to approach a body organ for anastomosis from multiple angles, but laparoscopy limits that towards the angle formed through the trocar entry site and also the position from the organ. Organs that have a great deal of mobility like the small bowel are thus easier to join, because it could be manipulated into a more favorable position than the duodenum or cardia from the stomach, that are largely fixed. The hand sewn technique is appropriate for almost any kind of gastrointestinal anastomosis whether end-to-end, end-to-side, or side-to-side. 

It generally takes longer as well as more dexterity than either from the mechanically assisted techniques. The axis from the suture line in relation to the needle driver is paramount. It has been one of the key benefits of robotically operated instruments like the DaVinci

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