What are alternative surgical procedures for the treatment of cecal volvulus?

Updated: Nov 28, 2018
  • Author: Scott C Thornton, MD; Chief Editor: John Geibel, MD, DSc, MSc, AGAF  more...
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Answer

In extremely debilitated patients who are unable to tolerate a surgical procedure, a percutaneous cecostomy may be attempted. This procedure has a low recurrence rate (only 1-3%) but is associated with a high incidence of wound infection and persistent fecal fistula.

Cecopexy is mentioned only to be condemned. The recurrence rate associated with cecopexy is 15-20%, the same as that for detorsion alone.


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