VARIOUS SURGICAL OPTIONS FOR EMERGENCY MANAGEMENT OF SIGMOID VOLVULUS | [Journal of Postgraduate Medical Institute • 2012]

Author(s):

1. Munir Ahmad: Department of Surgery, Lady Reading Hospital,Peshawar ,Pakistan

2. Shahid Alam: Department of Surgery, Lady Reading Hospital,Peshawar ,Pakistan

3. Saeed Amer: Department of Surgery, Lady Reading Hospital,Peshawar ,Pakistan

4. Nadim Khan: Department of Surgery, Lady Reading Hospital,Peshawar ,Pakistan

5. Liaqat Ali Shah: Department of Surgery, Lady Reading Hospital,Peshawar ,Pakistan

6. Muzafar Uddin Sadiq: Department of Surgery, Lady Reading Hospital,Peshawar ,Pakistan

7. Nasir Ahmad: Department of Surgery, Lady Reading Hospital,Peshawar ,Pakistan

Abstract:

The objective of this study was to compare the outcome of various surgical options for the emergency surgical management of sigmoid volvulus. Methodology: This comparative study was conducted in emergency department of postgraduate medical institute Lady Reading Hospital, Peshawar over a period of one year from February 2007 to January 2008. Study comprised of hundred cases to have sigmoid volvulus on clinical and radiological grounds operated in casualty department with various surgical options and outcomes of these procedures were determined postoperatively. Results: Out of 100 cases, 79% were males and 21% females. Majority 51% patients were in the age range of 41-60 years, 36% patients were in age group of 61-80 years. Resection and Hartman's procedure was performed in 52% cases, resection with primary anastomosis with covering colostomy in 18% cases, resection and primary anastomosis in 15% cases, and resection with double barrel colostomy (Paul Mikulicz) in 15% cases. Wound infection/ dehiscence occurred in 21% cases, intra-abdominal abscess in 9% cases, anastomosis leakage in 6% cases. Colostomy complications included bleeding in 7% cases, retraction in 7% patients, prolapse in 4% cases. Conclusion: Resection and Hartmann procedure was performed in majority of patients. Wound infection/dehiscence, intra-abdominal abscess, anastomosis leakage were common postoperative complications with various frequencies.

Page(s): 317-323

DOI: DOI not available

Published: Journal: Journal of Postgraduate Medical Institute, Volume: 26, Issue: 3, Year: 2012

Keywords:

SigmoidDiseasesSurgery , Colonicsurgery , Intestinalobstructionssurgery , Treatmentoutcome

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