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Image Tag: Sutures

Selecting and Affixing loop of jejunum

A loop of jejunum has been selected and affixed to the greater curvature of the stomach, above the gastroepiploic vessels, with two stay sutures. Two enterotomies have been made and the stapling device inserted.

Posted on
06/15/2010
Image Categories
Fundamentals:Cholecystojejunostomy&Gastro, SAGES Manual
Image Tags
enterotomies, gastroepiploic, jejunum, loop, stomach, sutures, vessels

Division of the base

A. Division of the appendiceal base using pretied sutures. B. Division of the base using the endoscopic stapling device.

Posted on
06/14/2010
Image Categories
Fundamentals: Laparoscopic Appendectomy, SAGES Manual
Image Tags
appendiceal, base, division, endoscopic, pretied, stapling, sutures

Passing the Silastic feeding jejunostomy tube

Passing the Silastic feeding jejunostomy tube into the lumen of the jejunum and tying the sutures.

Posted on
06/14/2010
Image Categories
Fundamentals: Placement of Jejunostomy Tube, SAGES Manual
Image Tags
feeding, jejunostomy, lumen, silastic, sutures, tube

Placing anchoring sutures

The anchoring sutures are being placed. The suture is passed through the abdominal wall, a seromuscular bite of intestine is taken, and the suture is then passed out of the abdomen. Four sutures are placed in a diamondshaped configuration, providing both

Posted on
06/14/2010
Image Categories
Fundamentals: Placement of Jejunostomy Tube, SAGES Manual
Image Tags
abdominal wall, anchoring, intestine, retraction, seromuscular, sutures

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.

Posted on
06/14/2010
Image Categories
Fundamentals: Small Bowel Resection Enterolys, SAGES Manual
Image Tags
anterior abdominal wall, bowel, dissection, graspers, mesenteric, resection, retraction, sutures, traction, trocars

360 Degree wrap

A 2-cm, 360 degree wrap is created using three interrupted, nonabsorbable sutures with care to avoid the anterior vagus.

Posted on
06/11/2010
Image Categories
Fundamentals: Paraesophageal Hernia Repair, SAGES Manual
Image Tags
360 degree wrap, anterior vagus, sutures, wrap

Exposure of the crura

A. Three to six interrupted 0-gauge silk sutures are used to close the crura. B. Exposure of the crura and posterior aspect of the esophagus is facilitated by traction on a Penrose drain encircling the gastroesophageal junction.

Posted on
06/11/2010
Image Categories
Fundamentals: Treatment of Gastroesophageal, SAGES Manual
Image Tags
crura, esophagus, gastroesophageal junction, penrose drain, sutures

CBD Exploration via Laparoscopic Choledochotomy

A. The folded T-tube is inserted into the choledochotomy. B. Ttube in place. The choledochotomy will be closed from above downward. The T-tube will exit from the lower end of the choledochotomy when the sutures are placed.

Posted on
06/10/2010
Image Categories
Fundamentals: Laparoscopic Common Bile Duct E, SAGES Manual
Image Tags
choledochotomy, sutures, ttube, tube

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