Stricturoplasty and Small-Bowel Stricture Bypass (Open and MIS Approaches)

  • Lea Wehrli
  • Stefan ScholzEmail author


This abstract describes the surgical procedure as performed by the following approaches: diagnostic laparoscopy, laparoscopic-assisted stricturoplasty or conversion to laparotomy, and Heineke–Mikulicz stricturoplasty (longitudinal incision and transverse closure) or Finney stricturoplasty (small-bowel side-to-side antiperistaltic stricture bypass), or side-to-side isoperistaltic stricture bypass. The text includes an introduction that outlines the indications, risks, alternatives, essential steps, needed equipment, and variations in technique for the procedure in question. This is followed by a template operative dictation, which provides the reader with an operative report, such as is found in a patient chart or electronic medical record. A description is provided of the critical concepts and different techniques for this procedure.


Pediatric surgery Operative dictation Stricturoplasty Heineke–Mikulicz Finney Small-bowel stricture bypass Intestinal stricture Intestinal bypass 


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© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Children’s Hospital of Pittsburgh of UPMC, Department of Pediatric SurgeryPittsburghUSA
  2. 2.University of Pittsburgh School of Medicine, Children’s Hospital of Pittsburgh, Department of Pediatric SurgeryPittsburghUSA

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