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Bianchi LILT. A Separating the two leaves of the mesentery carrying blood supply to half of the circumference of the bowel. B Creating a mesenteric tunnel for division of the dilated bowel. C, D Division of the dilated bowel with a surgical stapler into two separate pieces, one-half the size of the original dilated loop. E The two bowel loops are then anastomosed together in an isoperistaltic manner. (Reproduced with permission from [60].)
