Hodgson W J, Schanzer H, Bakare S, McElhinney A J
Am J Gastroenterol. 1979 Jan;71(1):61-7.
Transverse taeniamyotomy has been in use for over four years in the surgical correction of the muscle abnormality of diverticular disease. Essentially, the technic is to carefully transversely incise the two antimesenteric taeniae coli at 2 cm. intervals, in a stepwise manner, from the rectosigmoid junction proximally up to normal colon. This causes the cut ends of the taeniae coli to pull apart into separate 2 cm. blocks of longitudinal muscle. Thus elongation and widening of the colon occurs, resulting in dilatation of the necks and free drainage of the diverticula obstructed by inflammation. Four patients are presented with localized diverticulitis who had simple transverse taeniamyotomy from which they quickly recovered. This operation justifies continuing study as it may increase the surgeon's range of response over one end of the spectrum of acute diverticulitis.
横行结肠带切开术已用于憩室病肌肉异常的手术矫正四年多。从本质上讲，该技术是从直肠乙状结肠交界处向近端直至正常结肠，以2厘米的间隔逐步仔细地横向切开两条结肠系膜对侧的结肠带。这会使结肠带的断端拉开，形成单独的2厘米长的纵肌块。这样一来，结肠就会伸长和变宽，从而使憩室颈部扩张，被炎症阻塞的憩室得以通畅引流。本文介绍了4例局限性憩室炎患者，他们接受了简单的横行结肠带切开术，术后很快康复。该手术值得继续研究，因为它可能会扩大外科医生对急性憩室炎一端的应对范围。
