Open the distal esophagus by transverse transection of its anterior wall and secure it proximally with an Allis forceps; this will prevent the distal esophagus from retracting craniad into the mediastinum. Now transect the posterior wall of the esophagus. Preplace a purse string suture (monofilament, nonabsorbable, 2/0, continuous full-thickness over-and-over) and gently dilate the esophagus with a dressing forceps. Insert the anvil of a circular EEA stapler and secure it by tying the preplaced purse string suture.
-
Anchoring the anvil with a purse string suture
![Anchoring the anvil with a purse string suture]()
Soundsettings
Assessing the jejunal arcades and determining the length of the afferent limb
In order to achieve a good functional result, the segment of the jejunum must be dissected sufficie
In order to achieve a good functional result, the segment of the jejunum must be dissected sufficie
Activate now and continue learning straight away.
Single Access
Activation of this course for 3 days.
US$9.30
inclusive VAT
Most popular offer
webop - Savings Flex
Combine our learning modules flexibly and save up to 50%.
from US$7.19 / module
US$86.28/ yearly payment
general and visceral surgery
Unlock all courses in this module.
US$14.38
/ month
US$172.60 / yearly payment