PRIMARYANASTOMOSIS IN THE MANAGEMENT OF ACUTE SIGMOID VOLVULUS WITH OUT COLONIC LAVAGE

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Mumtaz Khan
Safir Ullah
Mian Asad Ullah Jan
Aamer Naseer
Sarfaraz Ahmad
Aziz ur Rehman

Abstract

Objective: The objective of this study was to evaluate the safety of single stage resection and anastosis

for acute left sided colonic obstruction due to sigmoid volvulus.

Material and Methods: This study was conducted in the department of surgery Hayatabad Medical

Complex and Lady Reading Hospital Peshawar Pakistan from January 2002 to Jun 2007. It included cases

who presented with sigmoid vulvolus in emergency. All cases were operated by surgeons at senior

registrar or above level. Resection of the sigmoid colon followed by primary anastomosis after simple

manual decompression with out ontable colonic lavage or diverting stoma were carried out.

Results: Total number of patients who underwent bowel decompression, resection and primary anastosis

was 80. Superficial wound infections occurred in 20% (n=16). No death or clinical anastomotic failure

was recorded. Hospital stay was 11.4 + 4.3(SD) days.

Conclusion: Resection of acute sigmoid volvolus and primary anastomosis after decompression alone can

be carried out safely in reasonably fit patients.

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How to Cite
1.
Khan M, Ullah S, Jan MAU, Naseer A, Ahmad S, Rehman A ur. PRIMARYANASTOMOSIS IN THE MANAGEMENT OF ACUTE SIGMOID VOLVULUS WITH OUT COLONIC LAVAGE. J Postgrad Med Inst [Internet]. 2011 Aug. 10 [cited 2023 Feb. 4];21(4). Available from: https://www.jpmi.org.pk/index.php/jpmi/article/view/183
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Original Article

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