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Heineke-Mikulicz strictureplasty

Heineke-Mikulicz strictureplasty

(A) A full-thickness longitudinal incision is made along the antimesenteric border of the stricture for approximately 1 to 2 cm beyond the stricture.

(B1) The lumen is closed in one layer transversely.

(B2) If the surgeon prefers, the lumen can be closed in two layers.

(C) The resulting diameter of the bowel is sufficient to relieve the obstruction and preserve the length of bowel.
Graphic 86431 Version 4.0