STEP 11Anisoperistaltic reconstruction not standard

Preparation of an anisoperistaltic (not standard) colonic segment begins with incision of the peritoneum far from the colon and stepwise preparation of the mesocolon maintaining the paracolic arcades and the middle and left colic vessels. A vascular clamp is provisionally applied across the left colic artery and the sigmoid artery across the provisional colonic transection plane to prove a sufficient arcade of Riolan. If no ischemia occurs after 3min, the colon interposition can be performed.

Arcada Riolan

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Baby Sleeping

Baby Sleeping

Everything You Need To Know About Baby Sleeping. Your baby is going to be sleeping a lot. During the first few months, your baby will sleep for most of theday. You may not get any real interaction, or reactions other than sleep and crying.

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