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  Indian J Med Microbiol
 

Figure 1: (a) The pancreatic remnant is mobilized for approximately 2 cm from the underlying splenic vein (arrow). Full-thickness three sutures at 10, 12, and 2 o'clock are taken from outside (pancreatic parenchyma) to inside (pancreatic duct) without tying the knot. (b) Full-thickness sutures are taken from outside (pancreatic parenchyma) to inside (pancreatic duct) at 4, 6, and 8 o'clock position. (c) Five to six interrupted 4-0 PDS sutures are taken between posterior surface of pancreatic parenchyma and seromuscular layer of jejunum. (inset-large size of jejunal opening [horizontal arrow] in original Heidelberg technique), vertical arrow – jejunal mucosa fixation suture. (d) Needles of sutures taken on 4, 6, and 8 o'clock are passed from inside out of the jejunum to make sure the knots lie outside the anastomosis

Figure 1: (a) The pancreatic remnant is mobilized for approximately 2 cm from the underlying splenic vein (arrow). Full-thickness three sutures at 10, 12, and 2 o'clock are taken from outside (pancreatic parenchyma) to inside (pancreatic duct) without tying the knot. (b) Full-thickness sutures are taken from outside (pancreatic parenchyma) to inside (pancreatic duct) at 4, 6, and 8 o'clock position. (c) Five to six interrupted 4-0 PDS sutures are taken between posterior surface of pancreatic parenchyma and seromuscular layer of jejunum. (inset-large size of jejunal opening [horizontal arrow] in original Heidelberg technique), vertical arrow – jejunal mucosa fixation suture. (d) Needles of sutures taken on 4, 6, and 8 o'clock are passed from inside out of the jejunum to make sure the knots lie outside the anastomosis