PLICATION OF SMALL INTESTINE FOR RECURRENT SMALL BOWEL OBSTRUCTION DUE TO ADHESIONS_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

HU Jianmin.

Department of Surgery, First Hospital of Wuhan Iron &;
Steel Company, Wuhan 430080;

Corresponding author：

Keywords：

Array of small intestine Adhesive obstruction Prophylaxis of intestinal obstruction

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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.

Citation： HU Jianmin.. PLICATION OF SMALL INTESTINE FOR RECURRENT SMALL BOWEL OBSTRUCTION DUE TO ADHESIONS. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2001, 8(3): 208-210. doi: Copy

1.	ScottCoombes DM, Vipond MN, Thompson JN. General surgeons’ attitudes to the treatment and prevention of abdominal adhesions 〔J〕. Ann R Coll Surg Engl,1993； 75(2)∶123.
2.	Seabrook DB, Wilson ND. Prevention and treatment of intestinal obstruction by the use of the Noble Procedure 〔J〕. Am J Surg,1954； 88(5)∶186.
3.	Lord JW. The surgical management of chronic recurrent intestinal obstruction due to adhesions 〔J〕. Ann Surg,1950； 129(9)∶35.
4.	Wilson ND. Complications of the noble procedure 〔J〕. Am J Surg, 1964； 108(11)∶264.
5.	Smith TB. Treatment of recurring intestinal obstruction by the plication procedure 〔J〕. Am Surg,1955； 29(8)∶24.
6.	Nathewson JM. Plication of small intestine as prophylaxis against abhesions 〔J〕. Am J Surg,1966； 38(7)∶41.
7.	郑瑞华，杨英起.肠系膜穿线法小肠排列术治疗粘连性肠梗阻〔J〕.普外临床，1994； 9(2)∶73.
8.	Stone JD. Simplc intestinal plication 〔J〕. SGO,1956； 221(20)∶2340.
9.	Path EJ. Cause analysis of postoperation abdominalgia on Noble’s operation 〔J〕. An J Surg, 1960; 105(4)∶421.
10.	Ragin H, Poth EJ. Clinical and experimental comparison of the noble and the ChildsPhillips plications of the small bowel 〔J〕. Am J Surg,1966； 111(10)∶555.
11.	Childs WA, Phillips ED. Experience with intestinal obstruction and proposed modification 〔J〕. Ann Surg,1960； 152(12)∶258.
12.	Holleider LF. Childs and Phillips plication of the small bowel. A few remarks on a series of 100 cases 〔J〕. Current Surg,1978； 35(4)∶338.
13.	童大鹤.肠系膜间断固定小肠排列术治疗广泛性肠梗阻〔J〕.白求恩医科大学学报，1982； 2(1)∶50.
14.	Sclabas G, Heller G, Ludin A. Late results of ChildsPhillips mesenteric plication for therapy and prevention of small intestine ileus 〔J〕. Chirurg, 1997； 68(7)∶693.
15.	陆天方.小肠排列术治疗粘连性肠梗阻27例报告〔J〕.广东医学，1997； 18(2)∶133.
16.	Terguson AJ, Raritch AJ. Transmesenteric plication for small intestinal obstructions 〔J〕. Am J Surg,1975； 110(1)∶595.
17.	White RR. Prevention of recurrent small bowel obstruction due to adhesions 〔J〕. Ann Surg,1956； 143(6)∶714.
18.	Smith GK. The noble plication procedure 〔J〕. AMA Arch Surg,1955； 70(12)∶801.
19.	廖文斌，黄秉权.小肠折叠排列防治粘连性肠梗阻〔J〕.实用外科，1986； 6(4)∶217.
20.	Baker JW. Stitchless plication for recurring obstruction of the small bowel 〔J〕. Am J Surg,1968； 116(5)∶316.
21.	Sanderson ER, Richard WK. Decompression of the small intestine by retrograde intubation 〔J〕. SGO,1971； 132(12)∶1073.

1. ScottCoombes DM, Vipond MN, Thompson JN. General surgeons’ attitudes to the treatment and prevention of abdominal adhesions 〔J〕. Ann R Coll Surg Engl,1993； 75(2)∶123.
2. Seabrook DB, Wilson ND. Prevention and treatment of intestinal obstruction by the use of the Noble Procedure 〔J〕. Am J Surg,1954； 88(5)∶186.
3. Lord JW. The surgical management of chronic recurrent intestinal obstruction due to adhesions 〔J〕. Ann Surg,1950； 129(9)∶35.
4. Wilson ND. Complications of the noble procedure 〔J〕. Am J Surg, 1964； 108(11)∶264.
5. Smith TB. Treatment of recurring intestinal obstruction by the plication procedure 〔J〕. Am Surg,1955； 29(8)∶24.
6. Nathewson JM. Plication of small intestine as prophylaxis against abhesions 〔J〕. Am J Surg,1966； 38(7)∶41.
7. 郑瑞华，杨英起.肠系膜穿线法小肠排列术治疗粘连性肠梗阻〔J〕.普外临床，1994； 9(2)∶73.
8. Stone JD. Simplc intestinal plication 〔J〕. SGO,1956； 221(20)∶2340.
9. Path EJ. Cause analysis of postoperation abdominalgia on Noble’s operation 〔J〕. An J Surg, 1960; 105(4)∶421.
10. Ragin H, Poth EJ. Clinical and experimental comparison of the noble and the ChildsPhillips plications of the small bowel 〔J〕. Am J Surg,1966； 111(10)∶555.
11. Childs WA, Phillips ED. Experience with intestinal obstruction and proposed modification 〔J〕. Ann Surg,1960； 152(12)∶258.
12. Holleider LF. Childs and Phillips plication of the small bowel. A few remarks on a series of 100 cases 〔J〕. Current Surg,1978； 35(4)∶338.
13. 童大鹤.肠系膜间断固定小肠排列术治疗广泛性肠梗阻〔J〕.白求恩医科大学学报，1982； 2(1)∶50.
14. Sclabas G, Heller G, Ludin A. Late results of ChildsPhillips mesenteric plication for therapy and prevention of small intestine ileus 〔J〕. Chirurg, 1997； 68(7)∶693.
15. 陆天方.小肠排列术治疗粘连性肠梗阻27例报告〔J〕.广东医学，1997； 18(2)∶133.
16. Terguson AJ, Raritch AJ. Transmesenteric plication for small intestinal obstructions 〔J〕. Am J Surg,1975； 110(1)∶595.
17. White RR. Prevention of recurrent small bowel obstruction due to adhesions 〔J〕. Ann Surg,1956； 143(6)∶714.
18. Smith GK. The noble plication procedure 〔J〕. AMA Arch Surg,1955； 70(12)∶801.
19. 廖文斌，黄秉权.小肠折叠排列防治粘连性肠梗阻〔J〕.实用外科，1986； 6(4)∶217.
20. Baker JW. Stitchless plication for recurring obstruction of the small bowel 〔J〕. Am J Surg,1968； 116(5)∶316.
21. Sanderson ER, Richard WK. Decompression of the small intestine by retrograde intubation 〔J〕. SGO,1971； 132(12)∶1073.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

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

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