The management of cecal volvulus.
Cecal volvulus is second only to sigmoid volvulus in its frequency of occurrence. Diagnostic doubt is not uncommon in cecal volvulus; nonoperative decompression is rarely achievable; and if gangrene supervenes, mortality rises appreciably. Resection is mandatory for gangrene and a grossly distended, thin-walled cecum. Cecopexy and cecostomy seem less-effective and more morbid options than resection and anastomosis for viable bowel. However, their role needs reappraisal in the light of advances in minimally invasive techniques.
Madiba
T E
TE
Department of Surgery, University of Natal, Durban, South Africa.
Thomson
S R
SR
D002429:Cecal Diseases / Q000453:epidemiology / Q000601:surgery / Q000628:therapy*; D002431:Cecostomy; D002432:Cecum / Q000601:surgery; D006801:Humans; D007415:Intestinal Obstruction / Q000453:epidemiology / Q000601:surgery / Q000628:therapy*; D013536:Suture Techniques