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Fig. 3 | BMC Surgery

Fig. 3

From: Laparoscopic T-tube feeding jejunostomy as an adjunct to staging laparoscopy for upper gastrointestinal malignancies: the technique and review of outcomes

Fig. 3

Jejunostomy technique a First layer of purse-string suture of jejunostomy tube using polyglactin 910 3/0 suture. b Enterotomy done with hook. c Enterotomy widened using Maryland dissector. d Insertion of T-tube into enterotomy. e First layer of purse-string suture knot secured. f Second layer of purse-string made using the remaining polyglactin 910 3/0 suture. g Transfascial suturing with suture passer (thread grasper) introduced through the same 2-mm stab incision in a different track. h T-tube flushed with normal saline to check for patency and leak

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