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Title
1. Exposure
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a. Midline Incision and Exploration
b. Entry to the Lesser Sac and Splenic/Hepatic Flexure Takedown
2. Mobilization of Descending and Sigmoid Colon
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a. Division of Mesenteric Vessels
b. Mobilization of Volvulus
c. Division of Distal Colonic Margin
d. Division of Proximal Colonic Margin
e. Removal of Specimen and Hemostasis
3. Colostomy
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a. Removal of Specimen and Hemostasis
b. Mobilization to Allow for Stoma Maturation
c. Identification of Stoma Site in LUQ
d. Creation of Stoma
4. Closure
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a. Abdominal Fascia Closed with #1 Running Prolene
b. Skin Closed with Staples
c. Colostomy Maturation and Ostomy Bag Fixation
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Open Left Colectomy for Colon Cancer: Left Colon and Sigmoid Resection with Colostomy Formation
Derek J. Erstad, MD
;
David L. Berger, MD
Massachusetts General Hospital
Tags:
General Surgery
Oncologic Surgery
Main Text
Procedure Outline
Transcript
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Authors
Derek J. Erstad, MD
David L. Berger, MD
Filmed At:
Massachusetts General Hospital
Article Information
Publication Date
8/19/2024
Article ID
29
Production ID
0088
Volume
2024
Issue
29
DOI
https://doi.org/10.24296/jomi/29