Strictureplasty Periprocedural Care

Updated: Feb 16, 2021
  • Author: Mustafa W Aman, MD; Chief Editor: Kurt E Roberts, MD  more...
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Periprocedural Care

Preprocedural Planning

Routine preoperative assessment of the patient's nutritional status with albumin and prealbumin levels should be performed. Those who are malnourished should receive preoperative supplements or parenteral nutrition in order to optimize postoperative wound healing. [9]

Preoperative computed tomography (CT) or magnetic resonance enterography should be obtained to define the extent and location of small-bowel strictures, to visualize any unsuspected fistulas or perforations, and to obtain an estimate of small-bowel length.

An ostomy nurse should meet with the patient before the procedure to discuss the possibility of a stoma and mark the potential site of an ostomy.

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Equipment

Equipment used for strictureplasty includes the following:

  • Blade for skin incision
  • Bovie electrocautery
  • Abdominal retractors
  • Bowel clamps
  • Suture scissors
  • Any thermal device for mesentery ligation
  • Sutures for bowel repair (the authors use 3-0 polyglactin and 3-0 silk SH needle)
  • O-looped polydioxanone suture for fascial closure and staples or poliglecaprone suture for skin closure
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Patient Preparation

Anesthesia

General anesthesia is used as expected.

Positioning

The patient should be placed in the supine position, with care taken to ensure that all pressure points are well padded.

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