Laparoscopic Removal of Entercutaneous Fistula Secondary to Mesh Reinforcement of the Abdominal Wall

Barry Salky, MD. Mount Sinai Health System

This 73 year old male had an elective resection of sigmoid diverticultis 25 years ago.  Two years ago, he developed an abdominal wall abscess that was surgically drained.  He continued to have discharge from it and developed an enterocutaneous fistula.  Fistulagram showed connection to the ileum, and CT scan did not show any significant inflammatory reaction in the abdominall wall.  He has a history of mild renal insufficency.  This video demonstrates how to surgically remove mesh with attached small bowel, and it highlights the technical features of an intracorporeal anastomosis.

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