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Title
1. Introduction
2. Access to the Abdomen
3. Encountered Bowel Perforation and Massive Ischemia - Determine Extent and Adjust Approach
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a. Bowel Resection Around Perforation
b. Extend Bowel Resection
c. Consult
d. Ileocecectomy
4. Distal/SMA Exposure and Dissection
5. Mobilization of the Left Lobe of the Liver
6. Supraceliac Exposure
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a. Take Down Median Arcuate Ligament
7. Control Adventitial Tears with Pledgeted Sutures
8. Retropancreatic Tunnel
9. Prepare Conduit
10. Place Side-Biting Clamp on Aorta
11. Arteriotomy
12. Aortic Punch to Remove Ellipse of Aorta
13. Proximal Anastomosis of Conduit to Aorta
14. Pass Conduit Through Retropancreatic Tunnel
15. Distal Anastomosis of Conduit
16. Reperfusion
17. Test Anastomoses
18. Final Inspection and Hemostasis
19. Closure
20. Post-op Remarks
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Supraceliac Aorta-to-SMA Bypass with Ileocecectomy for Acute-on-Chronic Mesenteric Ischemia Complicated by Bowel Necrosis and Perforation
Benjamin J. Pearce, MD
UAB Hospital
Tags:
Vascular Surgery
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Authors
Benjamin J. Pearce, MD
Filmed At:
UAB Hospital
Article Information
Publication Date
5/23/2025
Article ID
352
Production ID
0352
Volume
2025
Issue
352
DOI
https://doi.org/10.24296/jomi/352