PLICATION OF SMALL INTESTINE FOR RECURRENT SMALL BOWEL OBSTRUCTION DUE TO ADHESIONS

Jianmin HU

Objective　To array the small intestine so that the uncontrollable adhesions will turn to controllable abhesions in order to prevent the intestinal obstruction. Methods　Literatures were reviewed. The advance of plication of small intestine has passed through three stages 1st, sewing the intestine just like the array of harpsichord keys; then, using straight needle with coarse threads to make a 'U' suture for the mesentery of small intestine so the intestine was arrayed, and 3rd inserting a Millers-Abbott tube into the lumen of small intestine followed by manual arrangement of the intestine. Results　Using the Millers-Abbott tube the intestine was fixed in a steady position and arrayed in a half moon circular shape to avoid sharp angle. As a result, the intra-luminal pressure of the intestinal was effectively decreased. Follow up 45 cases showed the cure rate of 91.9%. Conclusion　This operation has widely been accepted by the surgeons for its simplicity, high efficacy and reliability. It reduces the recurrence rate of adhesive obstruction.

Biblioteca Virtual en Salud

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PLICATION OF SMALL INTESTINE FOR RECURRENT SMALL BOWEL OBSTRUCTION DUE TO ADHESIONS / 中国普外基础与临床杂志