AB007. SOH24AB_279. Video demonstration of division of the challenging mesentery in Crohn’s disease
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AB007. SOH24AB_279. Video demonstration of division of the challenging mesentery in Crohn’s disease

Faris Alrasheed1,2, Michael Devine1,2, Calvin Coffey1,2

1Department of Surgery, University Hospital Limerick, Dooradoyle, Limerick, Ireland; 2School of Medicine, University of Limerick, Limerick, Ireland

Background: The mesentery in Crohn’s disease is often grossly inflamed and hyper vascular. This makes it haemostatic division challenging. Increasingly, mesenteric excision is being considered as a technical, surgical option in Crohn’s disease. The aim of this video presentation is to demonstrate a reliable technique for safe and haemostatic division of the challenging mesentery in Crohn’s disease.

Methods: Following informed consent and ethical approval, a video recording of division of the technically challenging mesentery was obtained. The case in question involved an individual undergoing exceptional surgery for complicated ileocolic Crohn’s disease. Editing was completed with Final Cut Pro.

Results: The mesentery can be haemostatically divided using the approach demonstrated. The most essential component in this approach is suture ligation of the mesentery with overlapping, horizontal, mattress sutures. This conformation ensures that all mesenteric vasculature is enclosed in the ligature.

Conclusions: The video demonstration illustrates a technique for safe and haemostatic division of the challenging mesentery in in Crohn’s disease.

Keywords: Crohn’s disease; mesentery; video demonstration; mattress sutures; haemostatic division

Acknowledgments

Funding: None.

Footnote

Conflicts of Interest: The authors have no conflicts of interest to declare.

Ethical Statement: The authors are accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0/.

doi: 10.21037/map-24-ab007
Cite this abstract as: Alrasheed F, Devine M, Coffey C. AB007. SOH24AB_279. Video demonstration of division of the challenging mesentery in Crohn’s disease. Mesentery Peritoneum 2024;8:AB007.

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