Volume : VII, Issue : V, May - 2017

A study on sigmoid volvulus admitted in JLNMCH, Bhagalpur

Dr. Pradip Kumar Bazaz, Dr. Md. Faizan Sarwar

Abstract :

 It is the twist (rotation) in the axis of the loop of the bowel either clockwise or anticlockwise. 15% of large bowel obstruction is due to volvulus. Sigmoid colon is the commonest site (anticlockwise)—65%. This study was done to evaluate the clinical features, type of surgical procedures performed, and to determine the prognosis of sigmoid volvulus. Materials and Method: In this study, 50 cases of sigmoid volvulus were taken with any age.  Study was done in surgery department of JLNMCH, Bhagalpur, Bihar from April 2016 to March 2017. All cases were registered fulfilled the inclusion criteria and exclusion criteria. Age, sex, symptoms, duration, types of surgery performed, postoperative complications, mortality, duration of hospital stay were analysed. Results– Out of 50 patients 35(70%) were male and 15(30%) were females. The average age group of presentation was 46years. The most common presenting complaint was abdominal distension and not passing stool and flatus. Colostomy was the most commonly done operation in 38(76%) cases. The average duration of the operation was about one and half hours. Wound infection was the most common post operative complication in 33(66%) cases. Average number of days hospital stay was 20 days. Mortality was noted in 12(24%) cases. Conclusion– It is an emergency condition and should be operated as soon as possible to prevent the bowel to get ischemic. It usually presents in old people. Colostomy is the choice of operation. If treated properly, we can reduce the mortality due to this condition.

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Dr. Pradip Kumar Bazaz, Dr. Md. Faizan Sarwar, A study on sigmoid volvulus admitted in JLNMCH, Bhagalpur, INDIAN JOURNAL OF APPLIED RESEARCH : Volume‾7 | Issue‾5 | May‾2017

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