Complications - Segmental jejunal resection with side-to-side anastomosis

  1. Intraoperative complications

    • Bleeding from the mesentery and mesnteric hematoma formation. Here, the bleeding must be managed by additional deep suture ligation. Care must then be taken to ensure that the blood supply in the intestinal ends to be anastomosed is still adequate; if necessary, additional bowel must be resected.
    • Massive fecal contamination should be avoided as best as possible. To this end, soft intestinal clamps may be placed at the ends of the bowel and the surroundings protected with with moist towels.
    • Bleeding from the staple line can be stopped with a running suture or interrupted sutures. 
    • If the suture ruptures during anastomosis, either repeat the suture anew or continue with a new suture then tied to the ruptured suture.
Postoperative complications

Anastomotic failure in anastomoses of the small intestine is extremely rare, since these usually he

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