8 12
chevron incision
stomach greater curvature devascularised to open lesser sac.
immediately below stomach lay duodenum and a red mass (pancreas)
Duct palpated and aspirated to confirm.
Duct opened with diathermy with duct lifted up with right angle.
stones removed with artery or desjardens
Dj visualised and ligament of treitz seen clearly as a adhesion to a loop.
20 cm from dj. jejunim divided with linear stapler 55. stapled ends were closed with 3-0 silk interrupted stiches.
ring worm removed by enterotomy. also rest of intestines run through for worms and could be palpated.
distal roux loop taken antecolic to pancreas and reversed and opened. then fixed full thickness to pancreas using 3-0 prolene or 3-0 pds. most imp are corner stitches.
JJ: 2 loops held side by side and fixed with 3-0 silk.
2 small 1 cm enterotomies made transversely and opened with mosquitoes,
linear stapler 55 held for 1 min and fired.
2 enterotomies closed transversely with interrupted 3-0 vicryl.
lesser sac romovac 28 drain placed.
chevron incision
stomach greater curvature devascularised to open lesser sac.
immediately below stomach lay duodenum and a red mass (pancreas)
Duct palpated and aspirated to confirm.
Duct opened with diathermy with duct lifted up with right angle.
stones removed with artery or desjardens
Dj visualised and ligament of treitz seen clearly as a adhesion to a loop.
20 cm from dj. jejunim divided with linear stapler 55. stapled ends were closed with 3-0 silk interrupted stiches.
ring worm removed by enterotomy. also rest of intestines run through for worms and could be palpated.
distal roux loop taken antecolic to pancreas and reversed and opened. then fixed full thickness to pancreas using 3-0 prolene or 3-0 pds. most imp are corner stitches.
JJ: 2 loops held side by side and fixed with 3-0 silk.
2 small 1 cm enterotomies made transversely and opened with mosquitoes,
linear stapler 55 held for 1 min and fired.
2 enterotomies closed transversely with interrupted 3-0 vicryl.
lesser sac romovac 28 drain placed.
