Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
Online ISSN : 1882-5133
Print ISSN : 1345-2843
ISSN-L : 1345-2843
THERAPEUTIC OUTCOMES OF TEN HORNS' PLICATION FOR CECUM MOBILE
Koji DAIRAKUMasahiko KISHIKAWATadahiko ENOKIShinji NOSHIMAKimikazu HAMANO
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JOURNAL FREE ACCESS

2003 Volume 64 Issue 10 Pages 2384-2389

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Abstract

A total of 44 patients with cecum mobile treated at the hospital between April 1987 and April 2000 were enrolled in a retrospective analysis and a questionnaire survey. There were 3 men and 41 women, with an average age of 24.0±1.9 years. All 44 patients presented with right lower abdominal pain, and one patient also had vomiting. The average ailing time was 279.8±70.4 days. The preoperative white blood cell counts in all patients were normal. The average length of the ptosis with hepatic flexure was 10.4±0.4cm. Seventeen patients underwent a ten Horn's plication and 27 underwent a ten Horns' plication and an appendectomy. The average hospitalization was 10.6±1.1 days. According to the questionnaire survey, 32 (72%) patients responded that their symptoms improved after the procedure. In addition, 37 (84%) patients responded that this operation was well. Thus, we should consider this ten Horns' plication for patients with persistent and prolonged right lower abdominal pain and constipation.

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