Pedicled Ileal Seromuscular Flap-A New Technique for Protection of Intestinal Anastomosis in Patients with Peritonitis
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Date
2005-01
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Abstract
Pedicled ileal seromuscular flap- a new technique for protection of intestinal anastomosis in patients
with peritonitis. This method involves raising a seromuscular flap on a pedicle from the stump of
intestine to be anastomosed. The anastomosis is performed, and then covered with seromuscular
flap. The submucosa due to its inherent properties, promotes better healing and reduces the tension
on the anastomosis. There has been no previous study to assess the usefulness of this technique. We
used a pedicled ileal seromuscular flap in twenty consecutive patients with peritonitis who required
an ileo-ileal or an ileo-colic anastomosis. Anastomotic leak occurred in two out of twenty patients.
The safety and efficacy of this technique involving autologous tissues to reinforce intestinal
anastomosis has been demonstrated.
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Keywords
Seromuscular Flap, Anastomotic Dehiscence, Emergency Intestinal Surgery
Citation
Talwar Nikhil, Lal Romesh, Parthania OP. Pedicled Ileal Seromuscular Flap-A New Technique for Protection of Intestinal Anastomosis in Patients with Peritonitis. JK Science Journal of Medical Education and Research. 2005 Jan-Mar;7(1): 1-3