Surgeon and Gynecologist performing Laparoscopic small bowel resection and anastomosis demonstrated by Dr J S Chowhan.
Hands on Training in Minimal access Surgery.
Jun 20, 2017
Event Time: 9:00 am
Location: World Laparoscopy Hospital
Today the doctors were given training in laparoscopic Anastomosis tecniques. For small diameter structures like Fallopian tube, ureter, CBD etc only hand sewn anastmosis is possible. Endo GI staplers are used for small and large bowel. The doctors were told that the principles of anastmosis are same both in open and laparoscopic surgery.
1. Always the posterior layer is stitched first
2. The knot is to be placed outside the lumen
3. Single layer anastomosis is done
4. Connelling of corners is not required
The doctors practiced this on a model and the suture line was in the same horizontal plane as the needle. This made their task difficult and it gave them good practice in needle alignment.