[Comparative studies of plication surgery under experimental conditions].

Abstract

Adhesions of the small intestine were produced by scarification in 43 dogs. The 38 surviving animals were relaparotomised after 3 weeks and the adhesions were separated. Afterwards the Noble operation in 11 animals, the modified operation by Childs in 10 animals, the interior splinting of the small intestine by Reifferscheid-Phillipp in 10 animals, and the simple closure of the abdominal cavity in 7 animals (control group) were carried out. The autopsy was performed 1 to 8 weeks after the operation. The intestine was in perfect plication order after the noble operation. Overlapping of loops without complications were existing after the operation by Childs. Unsystematic fixations without kinking were observed after the interior splinting, but in one case no adhesion was visible after 2 months and in another case a heavy inflammation of the abdominal wall was caused by the splint. Kinking, unsystematic fixation, and wide lumina without ileus were discovered in the control group. - The Noble operation is expanding with reference to the time. The operation by Childs is a simple and short-term operation. The interior splinting under experimental circumstances is a lengthy and traumatising procedure in the opinion of the author.