ABSTRACT
Reoperative surgery is technically challenging and for this reason often referred onward by many surgeons. Most argue that it should only be conducted in high-volume centers where multidisciplinary support mechanisms are in place [1–5]. The challenge with reoperative abdominal surgery lies in adhering to a strictly anatomic approach. Multiple factors contribute to this difficulty including inaccurate descriptions of mesenteric and mesocolic anatomy, difficulty in differentiating mesenteric from retroperitoneal and omental fatty structures, the formation of adhesional complexes involving numerous structures, and the displacement of fatty compartments (e.g., the retroperitoneum) into an adhesional complex.
