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open colon surgery is the traditional method used by most surgeons to remove a segment of colon this technique requires a large midline incision and is an invasive procedure resulting in a large scar open retractors are used to expose the abdominal contents with the small bowel and colon seen here in this case a colon mass of the sigmoid colon is identified and isolated for removal once divided the specimen is removed from the abdominal cavity a surgical anastomosis is then performed by joining the two ends of the colon together retractors are removed and the abdominal wall is closed the incision is then approximated with multiple sutures or staples over time the typical resulting midline scar is noted here open colon surgery typically results in a large scar prolonged healing and a lengthy hospital stay as opposed to open colon surgery at colorectal Surgical Associates we perform the majority of our colon surgeries using minimally invasive laparoscopic tech