Equis ISSN 2398-2977

Cecum: typhlectomy

Contributor(s): Prof Gary M Baxter, Graham Munroe, Jarred Williams

Introduction

  • Partial or complete typhlectomy, ie partial or complete removal of the cecum, is indicated in the surgical treatment of selected cases of some cecal diseases.
  • It is a relatively uncommon procedure.

Uses

  • Surgical resection of a manually reduced cecocecal or cecocolic intussusception (up to 50-60%) Cecum: intussusception - cecocecal / cecocolic.
  • Surgical resection of the necrotic cecum following cecal infarction (partial or complete) .
  • Surgical resection of a cecal torsion Cecum: torsion.
  • Surgical resection of damaged cecum, eg adhesions Abdomen: adhesions and post-foaling.
  • Surgical resection of contaminated apex following typhlotomy Cecum: typhlotomy and evacuation of cecal contents.

Advantages

  • Partial typhlectomy is a relatively simple surgical technique either by hand or stapling devices.

Disadvantages

  • Complete typhlectomy is very difficult because of the poor exposure of the cecal base - very rare.
  • Partial typhlectomy for cecal infarction may not be adequate as progression of the condition can occur.
  • Adhesions to resected site following partial typhlectomy.

Requirements

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Preparation

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Procedure

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Aftercare

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Outcomes

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Prognosis

Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Dart A J, Hodgson D R & Snyder J R (1997) Caecal disease in equids. Aust Vet J 75 (8), 552-557 WileyOnline.

Other sources of information

  • Hardy J & Rakestraw P C (2012) Large Intestine. In: Equine Surgery. Eds: Auer J & Stick J. 4th edn. Elsevier Saunders, USA. pp 454-493.


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