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BARNES WOODHALL, M.D.

Arch Surg. 1938;36(6):989-997.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

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 . . . [Full Text PDF of this Article]

Author Affiliations
DURHAM, N. C.

From the Department of Surgery, Johns Hopkins Hospital.

Footnotes
Dr. Dean Lewis has previously advocated the procedure recorded in this paper, stressing particularly the control of intestinal obstruction and the protection from extensive fluid loss gained by its use. The recent appearance of two consecutive cases in which treatment by this method was successful has stimulated this more detailed report.

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