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Redo management of Crohn's disease after ileocaecal resection 20 years ago: new ileocolic laparoscopic resection

J Leroy, MD, FRCS J Marescaux, MD, FACS, Hon FRCS, Hon FJSES, Hon FASA, Hon APSA
Epublication WebSurg.com, Sep 2012;12(09). URL: http://websurg.com/doi/vd01en3745

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  • 2012-09-11
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Crohn’s disease is an evolutive inflammatory bowel disease. Surgery may be performed several times during the patient’s life. Using a laparoscopic approach limits the risk of adhesions and the possibilities of re-operations in those patients. In this film, the surgeon comes across difficulties due to postoperative adhesions and the interest of using new energy devices such as the LigaSure™ blunt tip device and the Sonicision™ cordless ultrasonic dissection device to free the small bowel and divide the mesos with an easy and secure hemostasis. Concerning the anastomosis between the small bowel and the colon, the use of the new generation of staples manufactured by Covidien is extremely worthy of interest because of the ergonomics of the new handle and the perfect closure and hemostasis of the stapling line of the Tri-staple™ cartridge technology.