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Blowhole Cecostomy for Cecal Decompression

Blowhole Cecostomy for Cecal Decompression Abstract Blowhole cecostomy is a method for achieving decompression of the distended cecum. Emphasis is placed on a McBurney-type incision, a watertight suture line joining bowel to muscle, and avoidance of opening the cecum until the suturing is done. References 1. Hunt CJ: Surface cecostomy versus right colon colostomy as the procedure of choice in decompressing the acutely obstructed colon due to intrinsic cancer . West J Surg Obstet Gynecol 67:101-105, 1959. 2. Turnbull RB, Weakley FL, Hawk WA, et al: Choice of operation for the toxic megacolon phase of nonspecific ulcerative colitis . Surg Clin North Am 50:1151-1169, 1970. 3. Gierson ED: Vasoconstrictor agents in local anesthetic preparations . Lancet 2:1142, 1972.Crossref 4. Barrkman MF: Intestinal explosion after opening a caecostomy with diathermy . Br Med J 1:1594-1595, 1965.Crossref 5. Ragins H, Shinya H, Wolff WI: The explosive potential of colonic gas during colonoscopic electrosurgical polypectomy . Surg Gynecol Obstet 138:554-556, 1974. 6. Albers JH, Smith LL: A comparison of cecostomy and transverse colostomy in complete colon obstruction . Surg Gynecol Obstet 95:410-415, 1952. 7. Maynard AD, Turell R: Acute left colon obstruction with special reference to cecostomy versus transversostomy . Surg Gynecol Obstet 100:667-674, 1955. 8. Balslev I, Jensen H, Nielsen J: The place of cecostomy in the relief of obstructive carcinoma of the colon . Dis Colon Rectum 13:207-210, 1970.Crossref 9. Hopkins JE: Tube cecostomy: An appraisal . Dis Colon Rectum 12:379-385, 1969.Crossref 10. Jackson PP, Baird RM: Cecostomy: An analysis of 102 cases . Am J Surg 114:297-301, 1967.Crossref 11. Gregg RO, Dixon CF: Operable malignant lesions of the colon producing obstructions . Surg Clin North Am 21:1143-1152, 1941. 12. Hendricks W, Griffin WD: Symposium on clinical advances in surgery: Intestinal obstructions . Surg Clin North Am 27:51-72, 1947. 13. Michel ML, McCafferty EL: Acute obstruction of the colon: With special reference to factors of mortality . Arch Surg 57:774-790, 1948.Crossref 14. Rack FJ, Clement KW: Cecostomy and colostomy in acute colon obstructions . JAMA 154:307-309, 1954.Crossref 15. Wanebo H, Mathewson C, Conolly B: Pseudo-obstruction of the colon . Surg Gynecol Obstet 133:44-48, 1971. 16. Westdahl PR, Russel T: In support of blind tube cecostomy in acute obstruction of the descending colon: Analysis of 93 emergency cecostomies . Am J Surg 118:577-581, 1969.Crossref 17. Wojtalik RS, Lindenauer SM, Kahn SS: Perforation of the colon associated with adynamic ileus . Am J Surg 125:601-606, 1973.Crossref 18. Lowman RM, Davis L: An evaluation of cecal size in impending perforation of the cecum . Surg Gynecol Obstet 103:711-718, 1956. 19. Davis L, Lowman R: Roentgen criteria of impending perforation of the cecum . Radiology 68:542-548, 1957.Crossref 20. Robertson JA, Eddy WA, Vosseler AJ: Spontaneous perforation of the cecum without mechanical obstruction . Am J Surg 96:448-452, 1958.Crossref 21. Eckman WG, Wenzke F, Abramson W: Perforation of the cecum complicating adynamic ileus . Am J Surg 96:718-720, 1958.Crossref 22. Yeo R: Spontaneous perforation of the caecum: Case reports and a review of the literature . Postgrad Med J 43:65-67, 1967.Crossref 23. Carrasquilla C, Arbulu A, Fromm S, et al: Cecal perforation due to adynamic ileus . Dis Colon Rectum 13:252-254, 1970.Crossref 24. Muggia AL: Perforation of the cecum associated with hypokalemic ileus . Am J Gastroenterol 57:169-171, 1972. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Blowhole Cecostomy for Cecal Decompression

Archives of Surgery , Volume 110 (4) – Apr 1, 1975

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Publisher
American Medical Association
Copyright
Copyright © 1975 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1975.01360100086017
Publisher site
See Article on Publisher Site

Abstract

Abstract Blowhole cecostomy is a method for achieving decompression of the distended cecum. Emphasis is placed on a McBurney-type incision, a watertight suture line joining bowel to muscle, and avoidance of opening the cecum until the suturing is done. References 1. Hunt CJ: Surface cecostomy versus right colon colostomy as the procedure of choice in decompressing the acutely obstructed colon due to intrinsic cancer . West J Surg Obstet Gynecol 67:101-105, 1959. 2. Turnbull RB, Weakley FL, Hawk WA, et al: Choice of operation for the toxic megacolon phase of nonspecific ulcerative colitis . Surg Clin North Am 50:1151-1169, 1970. 3. Gierson ED: Vasoconstrictor agents in local anesthetic preparations . Lancet 2:1142, 1972.Crossref 4. Barrkman MF: Intestinal explosion after opening a caecostomy with diathermy . Br Med J 1:1594-1595, 1965.Crossref 5. Ragins H, Shinya H, Wolff WI: The explosive potential of colonic gas during colonoscopic electrosurgical polypectomy . Surg Gynecol Obstet 138:554-556, 1974. 6. Albers JH, Smith LL: A comparison of cecostomy and transverse colostomy in complete colon obstruction . Surg Gynecol Obstet 95:410-415, 1952. 7. Maynard AD, Turell R: Acute left colon obstruction with special reference to cecostomy versus transversostomy . Surg Gynecol Obstet 100:667-674, 1955. 8. Balslev I, Jensen H, Nielsen J: The place of cecostomy in the relief of obstructive carcinoma of the colon . Dis Colon Rectum 13:207-210, 1970.Crossref 9. Hopkins JE: Tube cecostomy: An appraisal . Dis Colon Rectum 12:379-385, 1969.Crossref 10. Jackson PP, Baird RM: Cecostomy: An analysis of 102 cases . Am J Surg 114:297-301, 1967.Crossref 11. Gregg RO, Dixon CF: Operable malignant lesions of the colon producing obstructions . Surg Clin North Am 21:1143-1152, 1941. 12. Hendricks W, Griffin WD: Symposium on clinical advances in surgery: Intestinal obstructions . Surg Clin North Am 27:51-72, 1947. 13. Michel ML, McCafferty EL: Acute obstruction of the colon: With special reference to factors of mortality . Arch Surg 57:774-790, 1948.Crossref 14. Rack FJ, Clement KW: Cecostomy and colostomy in acute colon obstructions . JAMA 154:307-309, 1954.Crossref 15. Wanebo H, Mathewson C, Conolly B: Pseudo-obstruction of the colon . Surg Gynecol Obstet 133:44-48, 1971. 16. Westdahl PR, Russel T: In support of blind tube cecostomy in acute obstruction of the descending colon: Analysis of 93 emergency cecostomies . Am J Surg 118:577-581, 1969.Crossref 17. Wojtalik RS, Lindenauer SM, Kahn SS: Perforation of the colon associated with adynamic ileus . Am J Surg 125:601-606, 1973.Crossref 18. Lowman RM, Davis L: An evaluation of cecal size in impending perforation of the cecum . Surg Gynecol Obstet 103:711-718, 1956. 19. Davis L, Lowman R: Roentgen criteria of impending perforation of the cecum . Radiology 68:542-548, 1957.Crossref 20. Robertson JA, Eddy WA, Vosseler AJ: Spontaneous perforation of the cecum without mechanical obstruction . Am J Surg 96:448-452, 1958.Crossref 21. Eckman WG, Wenzke F, Abramson W: Perforation of the cecum complicating adynamic ileus . Am J Surg 96:718-720, 1958.Crossref 22. Yeo R: Spontaneous perforation of the caecum: Case reports and a review of the literature . Postgrad Med J 43:65-67, 1967.Crossref 23. Carrasquilla C, Arbulu A, Fromm S, et al: Cecal perforation due to adynamic ileus . Dis Colon Rectum 13:252-254, 1970.Crossref 24. Muggia AL: Perforation of the cecum associated with hypokalemic ileus . Am J Gastroenterol 57:169-171, 1972.

Journal

Archives of SurgeryAmerican Medical Association

Published: Apr 1, 1975

References