توضیحات
Small Bowel Anastomosis: Surgical Technique
Review literature: Kremer et al, 1992.
Urologic Indications for Small Bowel Anastomosis
In urology, the technique of small bowel anastomosis is needed for various urinary diversions like ileum conduit or neobladder. Less often, small bowel anastomosis is needed for reconstruction of the ureter or for bladder augmentation.
Contraindications
Do not use small bowel in patients with Crohn's disease, with short bowel syndrome or after pelvic external beam radiotherapy.
Surgical Technique of Small Bowel Anastomosis
Preoperative bowel preparation:
Start with a clear liquid diet 48 hours before the planned operation, this leads to an emptying of the small bowel system from solid debris. Permitted are clear soups, plenty of sweet drinks and high-energy tube feedings without fibers. The day before surgery, an enema is used to clean the rectum.
A more intense mechanical bowel preparation is not necessary and should be avoided.
Small bowel anastomosis using a GIA stapler