[Transmesenteric intestinal plication for intestinal occlusion secondary to disseminated adhesions. A 12-year experience].
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.


METHODS
We studied the medical records of 32 patients who underwent intestinal plication using the transmesenteric technique. The postoperative evaluation was based in recurrence and mortality.


RESULTS
There were 32 patients, 56% women and 44% men, with a mean age of 50 years. All patients had a history of intraabdominal surgical procedures. The postoperative evaluation was satisfactory. The success rate was over 90%. The recurrence rate was 9.3% and we had no mortality. The mean follow-up was 3.5 years (median 3 [range 1-12] years). There were no significant differences between this technique and the Noble and Childs-Phillips plication techniques.


CONCLUSIONS
This technique of intestinal plication is useful in the surgical management of patients with adhesive intestinal obstruction.
Martínez-Hernández-Magro
P
P
Servicio de Gastrocirugía, Hospital de Especialidades, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social.
Martínez-Ordaz
J L
JL
Blanco-Benavides
R
R
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D013505:Digestive System Surgical Procedures / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007410:Intestinal Diseases / Q000150:complications; D007415:Intestinal Obstruction / Q000209:etiology / Q000601:surgery*; D008297:Male; D008643:Mesentery; D008875:Middle Aged; D013997:Time Factors; D000267:Tissue Adhesions / Q000150:complications
Plicatura intestinal transmesentérica para la oclusión intestinal secundaria a adherencias diseminadas. Experiencia de 12 años.