Concomitant procedures included creation of continent outflow like Mitrofanoff in 14 patients, Monti neourethra in 2 patients, bilateral ureteric reimplantation in 2 patients, cecostomy button in 4 patients, bladder neck reconstruction in 4 patients, and pubovaginal sling in 3 patients.
Options for the management of cecal volvulus include endoscopic decompression, surgical detorsion alone, cecopexy, cecostomy, and right colectomy with primary or delayed anastomosis or proximal stoma--all through open or minimally invasive approaches.
The options for the management of the cecocolic volvulus include: endoscopic decompression, surgical detorsion alone, cecopexy, cecostomy, and right colectomy with primary anastomosis or stoma formation with delayed anastomosis--through open or minimally invasive approaches.
The Foley catheter was either removed and the enterotomy closed after resection of the lesion, or the catheter was brought out through a stab wound in the skin to create a tube cecostomy if clinically indicated.
48 children with DPAP, complicated by IP (second group), in the case of ineffective treatment and stimulation of motor-evacuative function of the stomach were additionally treated by retrograde decompression of small intestine using special tube through cecostomy or appendicostomy.