Sutureless intestinal plication.

BACKGROUND: Adhesions form between damaged mesothelial surfaces and can cause recurrent small bowel obstruction. Repeat laparotomies may be required in some cases, which can be associated with significant morbidities. METHODS: A technique is described for plication of the small bowel in an orderly manner with the use of two silicone indwelling urinary catheters. CONCLUSIONS: This plication technique, a modification of the Noble and Childs-Phillips operations, is effective, safe, quick and cost-effective.