Restoring Bowel Continuity

The stapled edges of the distal and proximal ileum are removed sharply. Applications of a GIA 55-mm stapler are used to create a side-to-side, functional end-to-end anastomosis along the antimesenteric border of the small bowel. The open end of the anastomosis is then closed using a TA 55-mm stapler. The end staple line is imbricated with interrupted, absorbable suture. The window through the mesentery is then closed with interrupted absorbable suture to prevent internal hernia formation.

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