Comparison between primary resection and anastomosis with colostomy in case of sigmoid volvolus

Charan Panda; Bhagaban Panda; Manas Ranjan Behera; Sanjit Kumar Nayak

Volume : VII, Issue : I, January - 2018

Comparison between primary resection and anastomosis with colostomy in case of sigmoid volvolus

Charan Panda, Bhagaban Panda, Manas Ranjan Behera, Sanjit Kumar Nayak

Abstract :

Introduction: Sigmoid volvulus is the most common type of volvulus.It is the condition in which the bowel becomes twisted on its mesenteric axis ,a situation that results in partial or complete obstruction of the bowel lumen and a variable degree of impairment of its blood supply.Most common presenting symptom is abdominal pain and constipation.The primary objective of the study is to evaluate the most suitable procedure for management of patients with sigmoid volvulus.

Methodology: Patients operated between July 2016 to November 2017 were studied retrospectively.Total 46 patients were included in the study of which 32 presented with gangrenous sigmoid colon on laparotomy and viable sigmoid colon was present in the remaining 14 patients.Comparison done between the two procedures in these patients with respect to mortality and morbidity.

Results: This study showed highest mortality among patients who underwent primary resection and anastomosis without colostomy.

Conclusion: Colostomy is the procedure of choice in case of complicated sigmoid volvulus with primary resection and anastomosis in case of uncomplicated sigmoid volvulus.