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Article
June 1938

MODIFIED DOUBLE ENTEROSTOMY (MIKULICZ) IN RADICAL SURGICAL TREATMENT OF INTUSSUSCEPTION IN CHILDREN

Author Affiliations

DURHAM, N. C.
From the Department of Surgery, Johns Hopkins Hospital.

Arch Surg. 1938;36(6):989-997. doi:10.1001/archsurg.1938.01190240092004
Abstract

The high mortality following the resection of gangrenous or irreducible intussusception in infants and young children furnishes sufficient reason for a determined and continuous effort to attain an optimal technic. For the treatment of such a lesion a great many surgical methods have been employed. They may be briefly noted as: (1) resection with lateral or end to end anastomosis; (2) resection with double enterostomy (von Mikulicz,1) Paul,2 Hartmann3); (3) resection of the intussusceptum through an incision in the intussuscipiens, with or without lateral anastomosis (Barker,4 Jessett,5 Maunsell,6 Coffey7); (4) lateral anastomosis about the lesion with secondary resection; (5) ileostomy with secondary resection; (6) lateral anastomosis about the lesion with secondary sloughing or healing (Rutherford,8 Parry,9 Montgomery and Mussil10); (7) enterectomy of the base of invagination or simple suture after mesenteric ligation, followed by spontaneous sloughing (Oderfeldt,11 Capelle12

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