Surgical Anatomy and Technique by Lee J. Skandalakis John E. Skandalakis & Panajiotis N. Skandalakis

Author:Lee J. Skandalakis, John E. Skandalakis & Panajiotis N. Skandalakis
Language: eng
Format: epub
Publisher: Springer New York, New York, NY

Step 5.Because of some peculiar mobility of the gastric mucosa, we apply Babcock clamps, bringing the mucosal and submucosal layers together so the gastric mucosa will not retract. Obtain hemostasis. Using interrupted 3–0 silk, approximate the gastric and duodenal wall posteriorly. Remove clamps and anastomose the gastric opening (including the gastric wall in toto) to the duodenum. Use a running 3–0 chromic for the mucosae and interrupted 3–0 silk seromuscular for the outside.

Figure 7.29.

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