A Meckel’s Diverticulum like a fatty man
Incidentally found a meckel’s diverticulum in a laparotomy for right colon cancer.
Small bowel Leiomyoma
Small bowel leiomyoma caused obstruction. Resection and anastomosis performed laparoscopically.
Small bowel obstruction
Small bowel obstruction due to intussusception caused by small bowel leiomyoma. Resection and anastomosis performed laparoscopically.
Small bowel obstruction
Small bowel obstruction due to intussusception caused by small bowel leiomyoma. Resection and anastomosis performed laparoscopically.
Small bowel obstruction
Small bowel obstruction due to intussusception caused by small bowel leiomyoma. Resection and anastomosis performed laparoscopically.
Small bowel obstruction
Small bowel obstruction due to intussusception caused by small bowel leiomyoma. Resection and anastomosis performed laparoscopically.
Small bowel obstruction
Small bowel obstruction due to intussusception caused by small bowel leiomyoma. Resection and anastomosis performed laparoscopically.
Small bowel intussusception
Small bowel obstruction due to intussusception caused by small bowel leiomyoma. Resection and anastomosis performed laparoscopically.
Jejunal Diverticulitis
This is an image of jejunal diverticulitis that presented as a microperforation and peritonitis
Construction of extracorporeal stapled anastomosis
Construction of an extracorporeal stapled anastomosis using a linear endoscopic stapler. The jaws of the stapler are being advanced into small enterotomies. Traction sutures help steady the bowel in position.
External view of exteriorized segment
External view of exteriorized segment of small intestine prior to resection. Note wound protector.
Subsequent dissection of mesenteric vessels
The small bowel segment chosen for resection has been suspended by traction sutures passed through the anterior abdominal wall. This facilitates subsequent dissection of mesenteric vessels and provides retraction without additional graspers or trocars.
Trocar Placement
Suggested trocar placement for resection of distal small bowel lesions. For a more proximal lesion, move the left lower quadrant trocar to the left upper quadrant. Trocars 4 and 5 are per the surgeon’s preference.