[Technique, indication and results of mesenterial-plication ad mod. Childs-Phillips in the treatment of adhesion ileus (author's transl)].

: Surgical correction of adhesion ileus can only be performed by isolating the adherent loops of the gut. This entails lacerations of the serosa which would be the cause of new adhesions. Therefore, small serosal defects would be covered by the technique after Wichmann. In larger and multiple defects of the serosa the authors recommend the intestinal plication after Childs-Phillips. In 17 years 47 operations of this kind were performed, 20 patients could now be followed up. Internal splinting of the small intestine should only be performed in cases of peritonitis with paralysis of the gut, but absence of larger defects of the serosa.