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EndoStitch device
SADI operation after previously performed sleeve gastrectomy
Автор: Evdoshenko V.V. and Fedenko V.V.
SADI operation after previously performed sleeve gastrectomy. D-r Evdoshenko V.V. and D-r Fedenko V.V. are performing an operation (2017).
In this video the technique of bariatric SADI operation is demonstrated. Pay attention to the minimally used duodenal dissection with preserving blood supply of duodenum. One more peculiarity of this operation is the use of EndoStitch apparatus that in fact improves the ergonomics of the operation.
Proximal transfer of duodenoileal anastomosis after SADI operation
Автор: Evdoshenko V.V. and Fedenko V.V.
Proximal transfer of duodenoileal anastomosis after SADI operation. D-r Evdoshenko V.V. and D-r Fedenko V.V. are performing an operation (2017).
One of the problems after bariatric SADI operation is deficiency of protein. In case of absence of the effect after the conservative treatment there is an indication to transfer anastomosis into more proximal position. Elongation of large colon loop will give a possibility to improve the absorbtion of protein.
Hemorrhage into the lumen of interintestinal anastomosis after gastric shunting according to Roux
Автор: Evdoshenko V.V. and Fedenko V.V.
Hemorrhage into the lumen of interintestinal anastomosis after gastric shunting according to Roux. D-r Evdoshenko V.V. and D-r Fedenko V.V. are performing an operation (2017).
Hemorrhage from the interintestinal anastomosis as complication after bariatric operation for gastric shunting according to Roux is rarely met. In case of continuing hemorrhage a repeated laparoscopy is performed, then revision of anastomosis is done and the source of hemorrhage is liquidated. It should be done in this way, as the use of flexible endoscopy for hemostasis is difficult to use, while using a standard equipment. In this case they have removed suture from anastomosis. Blood clot is visualized that is fixed to the source of hemorrhage. Hemostasis is fulfilled, using EndoStitch apparatus.
The alternative version of gastric shunting with one anastomosis. Totally manual anastomosis, using EndoStitch apparatus, behind the stomach and behind the colon
Автор: Evdoshenko V.V and Fedenko V.V.
The alternative version of gastric shunting with one anastomosis. Totally manual anastomosis, using EndoStitch apparatus, behind the stomach and behind the colon. D-r Evdoshenko V.V. and D-r Fedenko V.V. are performing an operation (2017).
In standard gastric shunting with one anastomosis the operation is performed so that the small colon is in front of the colon and in front of the stomach. In case of extreme obesity and extensive size of omentum this way of performing an operation presents difficulties, problems can develop because omentum will interfere with anastomosis-it can be stretched by omentum. Suggested alternative technique implies that the small colon and “small stomach” should come closer, using the shortest way, and, thus, complete absence of any stretching.
