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Mesenteric closure with polymer-ligating clips after right colectomy with complete mesocolic excision for cancer and mesentery-based ileocolic resection for Crohn’s disease

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Abstract

Mesenteric closure following right colectomy remains controversial and, following the advent of laparoscopic surgery, many surgeons do not routinely close the mesentery after colorectal resection. Nevertheless, especially after the introduction of operations such as right colectomy with complete mesocolic excision and ileocolic resections with extensive mesentery removal for Crohn’s disease, the wide mesenteric defect resulting from the dissections can certainly expose the patients to complications such as internal hernias or volvuli. In general, mesenteric closure requires intracorporeal suturing. We describe a simple technique for the closure of the mesentery after surgical resection using polymer-ligating clips. This novel technique seems to minimize the time, effort and risk inherent to the procedure, even after large mesenteric excisions.

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Authors and Affiliations

  1. Department of Surgery, University of Rome “Tor Vergata”, Rome, Italy

    G. S. Sica, M. Franceschilli, B. Sensi, L. Siragusa, D. Vinci & V. Bellato

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  1. G. S. Sica
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  2. M. Franceschilli
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  3. B. Sensi
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  4. L. Siragusa
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  6. V. Bellato
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Correspondence to V. Bellato.

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The study was conducted according to the guidelines of the Declaration of Helsinki. Ethical approval was not requested as for local policy on retrospective study conducted exclusively on datasets where involved subjects are not identifiable.

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Sica, G.S., Franceschilli, M., Sensi, B. et al. Mesenteric closure with polymer-ligating clips after right colectomy with complete mesocolic excision for cancer and mesentery-based ileocolic resection for Crohn’s disease. Tech Coloproctol 25, 1079–1084 (2021). https://doi.org/10.1007/s10151-021-02493-w

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