Intra-operative ultrasound of the small bowel in Crohn’s disease – a video vignette

A systematic and structured ultrasound scan (USS) evaluation of the entire small bowel is feasible intraoperatively during ileocolic Crohn’s disease (CD) surgery as we have previously reported [1]. Our video demonstrates the ultrasound assessment performed via a 4 cm midline laparotomy used for specimen extraction, extracorporeal control of the mesentery and fashioning of the anastomosis. The right colon and terminal ileum have been fully mobilised laparoscopically with a medial approach and the main steps of the laparoscopic procedure are also demonstrated in the video, with focus on anatomical landmarks and take down of the hepatic flexure.