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Similar Publications

Sutureless intestinal plication.

ANZ J Surg

August 2004

Department of Colorectal Surgery, St George Hospital, Kogarah, New South Wales, Australia.

Background: Adhesions form between damaged mesothelial surfaces and can cause recurrent small bowel obstruction. Repeat laparotomies may be required in some cases, which can be associated with significant morbidities.

Methods: A technique is described for plication of the small bowel in an orderly manner with the use of two silicone indwelling urinary catheters.

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Objective: To report the experience with intestinal plication in patients with adhesive intestinal obstruction that was followed up to 12 years.

Background: To diminish the high recurrence rate of adhesive intestinal obstruction, there are surgical techniques of intestinal plication. In 1977 Blanco modified a pre-existing transmesenteric technique that is the used in our institution.

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During the past 7 years 45 patients have been operated upon using the Childs-Phillips method. Of those, 37 were subsequently examined for the study--7 patients had died in the meantime. None of the deaths occurred as a direct result of transmesenteric small-bowel plication.

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From 1975 to 1988 we studied and valued fourteen pediatric patients, treated in the Department of Pediatric Surgery at Children's Hospital La Paz, with the Childs-Phillips procedure by postoperative recurrent bowel obstruction. Ten newborn infants had the following diagnoses: intestinal atresia, 4; Bochdaleck hernia, 3; Hirschsprung disease, 2; intestinal rotation anomalies, 1. Four patients out of neonatal period had: hiatal hernia, 1; intussusception, 1; appendicitis, 2.

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