Postoperativey intestinal adhesive ileus contains to be arpeplexing problem particulary because of its extensibility of peritoneintestinal adhesion and high recurrent-rate after usual surgery.
Roble pication and child-phillips plication(transmesenteric mattress suture) were designed to prevent recurrent episodes of intestinal obstruction.
However, such a suture plications are not only time consuming, but also associated with significant complication, fistula formation, perforation and intestinal loop avulsion.
In 1968, Baker reported a method of sutureless plication that was transjejunal long tube plication with minor complication and satisfactory result.
The author tried transjejunal long tube pliction for ´87 cases of extensive postoperative ileus and 22 cases in prophylactic measure which we experienced in the recent 6 years.
In 109 cases of long tube plication, we experienced good result with only one recurrent cases and, no other considerable complications in the 144 cases of usual operation, we experienced 11 cases of recurrent intestinal obstruction.
We are impreassed that transjejunal that transjejunal long tube plication is suturelsi plication which is more expeditious and simple plication procedure than other suture plication methods, and is very effective in,intestinal splinting, continuous long term decompression over all of the small, intestine, and preventing recurrent episodes of obstruction.
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