Pattern and outcome of surgical treatment in sigmoid volvulus at tertiary care hospital

Dr Reddi Jhansi; Dr Sharanabasappa Rudrawadi

Volume : VIII, Issue : II, February - 2019

Pattern and outcome of surgical treatment in sigmoid volvulus at tertiary care hospital

Dr Reddi Jhansi, Dr Sharanabasappa Rudrawadi

Abstract :

Acute sigmoid volvulus is the third most common cause of large bowel obstruction; with wide geographic variations. The aim of this study was to assess the pattern and outcome of surgical treatment offered in sigmoid volvulus patients. We performed a prospective study in 30 consecutively hospitalized patients with sigmoid volvulus. These patients represented 33% of all the large bowel obstruction cases appeared to the surgical department. The patients were given treatment options based on the presence of the gangrene. Four patients underwent Derotation and fixation to the anterior abdominal wall (13.3%), two patients with Primary sigmoid resection and end to end anastomosis (6.6%) and twenty–four patients with Hartmann’s procedure (80%). Rate of success of the procedure was good and because of fewer patients in the entire procedure group, the result cannot be concluded. The mortality rates were 50% and 12.5% with Primary sigmoid resection and end to end anastomosis and Hartmann’s procedure respectively. Our study shows that the surgical approach to sigmoid volvulus should be diversified according to the absence or presence of the gangrene and viable bowel