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Summary
Cecal volvulus management in 37 patients showed cecopexy as the preferred surgical option for viable bowel, while right-sided hemicolectomy was reserved for cases with gangrene.
Area of Science:
- Gastroenterology
- Surgical Gastroenterology
- Abdominal Surgery
Background:
- Cecal volvulus is a rare but serious condition causing bowel obstruction.
- Early diagnosis and appropriate surgical intervention are crucial for patient outcomes.
Purpose of the Study:
- To review surgical outcomes for cecal volvulus.
- To determine the optimal surgical approach based on bowel viability.
Main Methods:
- Retrospective analysis of 37 patients with cecal volvulus treated between 1952-1973.
- Surgical interventions included detorsion, cecopexy, cecostomy, and right-sided hemicolectomy.
Main Results:
- Cecopexy had a low recurrence rate (2/20 survivors).
- Right-sided hemicolectomy in 5 patients resulted in one postoperative death.
- Overall postoperative mortality was 6/32 patients undergoing surgery.
Conclusions:
- Cecopexy is the treatment of choice for viable cecal volvulus.
- Right-sided hemicolectomy is indicated for gangrenous cecal volvulus.