Heineke-Mikulicz strictureplasty
Heineke-Mikulicz Strictureplasty is the most common among the conventional strictureplasties. Emmanuel Lee introduced this strictureplasty for the treatment of Crohn’s disease in 1976 after he became aware of a similar technique on tubercular strictures of the terminal ileum described by Katarya, an Indian surgeon.[1] This technique is similar to a Heineke-Mikulicz pyloroplasty from which it derives its name.
The technique is optimal to address short strictures (≤7 cm). This technique is performed by making a longitudinal incision on the antimesenteric side of the bowel, extending from 2 cm proximal to 2 cm distal to the stricture.[2] The enterotomy is then closed in a transverse fashion in one or two layers.
References
- Lee EC, Papaionnou N (1982). "Minimal surgery for chronic obstruction in patients with extensive or universal Crohn's disease". Annals of the Royal College of Surgeons of England. 64: 229–233.
- Hurst R and Michelassi F (1998). "Strictureplasty for Crohn's Disease: Techniques and Long-term Results". World Journal of Surgery. 22: 359-53. doi:10.1007/s002689900397.
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