Sutureless intestinal plication.

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.

CONCLUSIONS

This plication technique, a modification of the Noble and Childs-Phillips operations, is effective, safe, quick and cost-effective.