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Title
1. Introduction
2. Abdominal Incision and Access to the Abdominal Cavity
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a. Lysis of Adhesions
3. Kocherization of the Duodenum
4. Colon Mobilization Including the Splenic Flexure
5. Release of Attachments Around the Ligament of Treitz
6. Determination of Blood Supply and Length of Colon
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a. Compare the Middle Colic and Left Colic Vascular Supply
b. Marginal Artery is Preserved
7. Construction of Colonic Interposition Graft
8. Stomach Mobilization
9. Excision and Repair of Gastrostomy Site
10. Transposition of Colon Posterior to Stomach
11. Cervical Incision and Mobilization of Esophagostomy
12. Formation of Tunnel
13. Passing of Colon Through Tunnel
14. Cervical Esophagocolonic Anastomosis
15. Distal Cologastric Anastomosis
16. Gastrostomy Creation
17. Reconstruction of Colonic Continuity via a Right to Distal Left Colocolonic Anstomosis
18. Closure of Mesentery
19. Gastrostomy Tube Placement
20. Abdominal Closure
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a. Peritoneum
b. Anterior Fascia
21. Cervical Incision Closure
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a. Place Cervical Drain and Reapproximate Muscles
b. Skin Excision
c. Reapproximate Platysma
d. Secure Penrose Drain to Skin
22. Skin Closure
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a. Secure G Tube to Skin
23. Post-op Remarks
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Colonic Interposition for Esophageal Atresia
Yoko Young Sang, MD
1
;
Caroll Alvarado Lemus, MD
2
;
Domingo Alvear, MD
3
1
Louisiana State University Shreveport
2
Mario Catarino Rivas Hospital, Honduras
3
World Surgical Foundation
Tags:
Pediatric Surgery
Global Surgery
General Surgery
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Procedure Outline
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Authors
Yoko Young Sang, MD
Caroll Alvarado Lemus, MD
Domingo Alvear, MD
Filmed At:
Mario Catarino Rivas Hospital, Honduras
Article Information
Publication Date
N/A
Article ID
290.5
Production ID
0290.5
Volume
N/A
Issue
290.5
DOI
https://doi.org/10.24296/jomi/290.5