Abstract
This chapter describes the Baker tube stitchless plication technique used in cases of intestinal obstruction due to extensive adhesions, or when the patient has already undergone numerous similar operations. Plication attempts to prevent multiple recurrent adhesions by holding the bowel in a prearranged orderly fashion during the period of adhesion formation. Indications, preoperative preparation, pitfalls, and complications are discussed. Details of operative strategy and operative technique are included.
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Further Reading
Baker JW. Stitchless plication for recurring obstruction of the small bowel. Am J Surg. 1968;116:316.
Childs WA, Phillips RB. Experience with intestinal plication and a proposed modification. Ann Surg. 1960;152:258.
Kuehn F, Weinrich M, Ehrmann S, Kloker K, Pergolini I, Klar E. Defining the need for surgery in small-bowel obstruction. J Gastrointest Surg. 2017;21:1136–41.
Noble TB. Plication of small intestine as prophylaxis against adhesions. Am J Surg. 1937;35:41.
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Scott-Conner, C.E.H. (2022). Baker Tube Stitchless Plication: Surgical Legacy Technique. In: Scott-Conner, C.E.H., Kaiser, A.M., Nguyen, N.T., Sarpel, U., Sugg, S.L. (eds) Chassin's Operative Strategy in General Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-81415-1_44
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DOI: https://doi.org/10.1007/978-3-030-81415-1_44
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