| Interventions |
Surgical procedure: Modified Kono S anastomosis after ileocolic resection. The intestine is transected by use of a linear staple cutter such that the mesentery is in the middle of the staple line and at a 90 angle to it. Then, the staple lines are sutured together transversely to create a supporting column that is designed to support the eventual dimension of the anastomosis. Longitudinal enterotomies of 7 cm length are then performed at the antimesenteric aspect, beginning 1 cm from the supporting column. The anastomosis is then created transversely in a hand-sewn fashion. Operative time: median:256 min Adherence and Quality Assurance (QA) documented in surgical report Surgical procedure preformed by: Accredited surgeon with training in Kono-S anastomosis, -must be a member of Colorectal Society of Surgeons Australia and New Zealand (CSSANZ), -experience with Inflammatory Bowel Disease (IBD) surgical management, -a minimum of 20 ileocolic resections - express interest in the multi-centre randomised controlled trial investigating the effect of Kono-S anastomotic approach |