THE NECESSITY OF MESENTERIC DEFECT CLOSURE DURING LAPAROSCOPIC COLECTOMIES

Authors

DOI:

https://doi.org/10.11603/2414-4533.2026.1.15772

Keywords:

laparoscopic colorectal resection, colonic mesentery, mesenteric defect, mesenteric defect closure, internal hernia, bowel obstruction, postoperative complications, quality of life, complication prevention

Abstract

The aim of the work: to determine the feasibility of mesenteric defect closure based on a retrospective analysis of outcomes after laparoscopic colorectal resections.

Materials and Methods. A retrospective analysis of 57 laparoscopic colorectal resections performed between 2018 and 2024 was conducted. Operative time, postoperative complications, development of bowel obstruction, and length of hospital stay were evaluated. In some patients the mesenteric defect was closed, while in others it was left open.

Results. Cases of internal entrapment of small bowel loops with subsequent bowel obstruction were observed exclusively in patients in whom the mesenteric defect was not closed. Closure of the mesenteric defect was not associated with an increased rate of postoperative complications or prolonged hospital stay. No significant differences in length of hospitalization were found between the groups with closed and non-closed defects.

Conclusions. Closure of the mesenteric defect during laparoscopic right- and left-sided colorectal resections is advisable and allows reduction of the risk of internal small bowel entrapment and acute postoperative bowel obstruction.

Received: 15.12.2025 | Revised: 20.01.2026 | Accepted: 19.02.2026

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Published

2026-03-16

How to Cite

GRUBNIK, V. V., VOROTYNTSEVA, K. O., KOSOVAN, V. M., & DEGTYARENKO, S. P. (2026). THE NECESSITY OF MESENTERIC DEFECT CLOSURE DURING LAPAROSCOPIC COLECTOMIES. Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (1), 51–56. https://doi.org/10.11603/2414-4533.2026.1.15772

Issue

No. 1 (2026)

Section

EXPERIENCE OF WORK

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Copyright (c) 2026 В. В. ГРУБНІК, К. О. ВОРОТИНЦЕВА, В. М. КОСОВАН, С. П. ДЕГТЯРЕНКО

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