“…Experimental studies have shown that the ‘crotch’ of a stapled anastomosis is the site of greatest weakness . Several methods have been described that attempt to overcome the vulnerability of this part of the anastomosis in open surgery, with some authors recommending a ‘crotch stitch’ to reinforce the staple line at the site of the crotch of the anastomosis.…”
This 'back-handed, left-to-right' stitch described here allows a properly angled closure of the proximal edge of the enterotomy and a safe approximation of the corner of the enterotomy in a side-to-side ICA.
“…Experimental studies have shown that the ‘crotch’ of a stapled anastomosis is the site of greatest weakness . Several methods have been described that attempt to overcome the vulnerability of this part of the anastomosis in open surgery, with some authors recommending a ‘crotch stitch’ to reinforce the staple line at the site of the crotch of the anastomosis.…”
This 'back-handed, left-to-right' stitch described here allows a properly angled closure of the proximal edge of the enterotomy and a safe approximation of the corner of the enterotomy in a side-to-side ICA.
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