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Title
1. Introduction
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a. Pre-op CT Scan
2. Injection of Local Anesthetic
3. Incision and Laparoscopic Access to the Abdomen
4. Placement of Remaining Ports
5. Lysis of Adhesions and Making Windows Around Gastrostomy
6. Takedown of Stomach
7. Endoscopy
8. Staple Transection
9. Leak Test and Check for Bleeding
10. Open Portion and Excision of Gastrocutaneous Fistula Tract
11. Abdominal Wall Defect Closure
12. Final Inspection
13. Port Sites Closure Leaving Fistula Tract Wound Packed Open
14. Post-op Remarks
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Laparoscopic-Assisted Takedown of a Gastrocutaneous Fistula
Victoria J. Grille, MD
1
;
Eric M. Pauli, MD, FACS, FASGE
2
1
Jersey Shore University Medical Center
2
Penn State Milton S. Hershey Medical Center
Tags:
General Surgery
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Authors
Victoria J. Grille, MD
Eric M. Pauli, MD, FACS, FASGE
Filmed At:
Penn State Health Milton S. Hershey Medical Center
Article Information
Publication Date
7/23/2025
Article ID
490
Production ID
0490
Volume
2025
Issue
490
DOI
https://doi.org/10.24296/jomi/490