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