A method for mesentery division that reduces intraoperative bleeding in severe hypertrophic mesentery within the surgery of Crohn′s disease
10.3760/cma.j.cn101480-20230105-00002
- VernacularTitle:一种可减少系膜广泛重度肥厚克罗恩病术中出血的肠系膜裁剪方法
- Author:
Xinzhe ZHAO
1
;
Hengyu ZHAO
;
Shu′an SHEN
;
Changjian WANG
;
Jia KE
Author Information
1. 中山大学附属第六医院普通外科（小肠外科），广州 510655
- Publication Type:Journal Article
- Keywords:
Crohn′s disease;
Mesentery;
Operation;
Intraoperative bleeding
- From:
Chinese Journal of Inflammatory Bowel Diseases
2023;07(4):379-381
- CountryChina
- Language:Chinese
-
Abstract:
In Crohn′s disease surgery, excision of the affected intestinal segment necessitates detachment of the corresponding mesentery. However, severe mesenteric hypertrophy due to inflammatory proliferation can impede the identification of blood vessels through transillumination and tactile sensation, often resulting in uncontrollable bleeding during mesenteric division. Additionally, re-closure of the mesenteric wound is prone to recurrent bleeding. Although Ligasure (an advanced bipolar electrosurgical system) offers advantages in grasping and sealing large tissue masses with rapid hemostatic capabilities, conventional use of Ligasure for mesenteric division in cases of severe hypertrophy in Crohn′s disease frequently leads to hemorrhage. Here, we present a novel method for mesenteric division suitable for severe hypertrophy, significantly reducing intraoperative bleeding during mesenteric detachment.
