2008 Annual Meeting Abstracts
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Laparoscopic Sigmoid Resection for Complicated Diverticulitis (Colovaginal Fistula)
Barry Salky*
Surgery, Mount Sinai Hospital, New York, NY
This video demonstrates the technical challanges that can occur in complicated diverticulitis. This case has the small intestine walling off an abscess from the sigmoid in conjunction with the sigmoid's attachment to the back wall of the bladder and the vagina. It demostrates a safe way to approach these structures, and it demostrates a good way to avoid ureteral injury. A tension free anastomosis to the upper rectum is shown, along with sigoidoscopy to check the anastomosis.
