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Further experience with the Childs-Phillips plication operation

J D McCarthy

    American Journal of Surgery
    |July 1, 1975
    PubMed

    Insights

    The Childs-Phillips plication surgery effectively prevents recurrent small bowel obstruction in most patients. However, it is not recommended for those with acute peritonitis due to high mortality rates.

    Area of Science:

    • Gastroenterology
    • Surgical Procedures

    Background:

    • Recurrent small bowel obstruction poses significant health risks.
    • Preventative surgical interventions are crucial for managing intestinal obstruction.

    Purpose of the Study:

    • To evaluate the efficacy of the Childs-Phillips plication operation.
    • To assess its use in treating and preventing small bowel obstruction.

    Main Methods:

    • The Childs-Phillips plication was performed on 42 patients.
    • Patients received the operation for treatment (19) or prophylaxis (23) of intestinal obstruction.

    Main Results:

    • Only one patient experienced later intestinal obstruction.
    • Mortality was high (80%) in patients with acute peritonitis undergoing the procedure.

    Conclusions:

    • The Childs-Phillips plication is effective in preventing recurrent small bowel obstruction.
    • It is contraindicated in cases of generalized acute peritonitis due to high mortality.

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