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Mesosigmoplasty as a definitive operation for sigmoid volvulus
1Department of Surgery, Dr Vaishampayan Memorial Medical College, Maharashtra, India.
The British Journal of Surgery
|July 1, 1992
Summary
Mesosigmoplasty effectively treats sigmoid volvulus, offering low recurrence and mortality rates. This surgical procedure can be performed emergently or electively, providing a safe and reliable option for patients.
Area of Science:
- Gastroenterology
- Surgical Procedures
Background:
- Sigmoid volvulus is a common cause of large bowel obstruction.
- Non-operative reduction is often attempted but frequently fails.
Purpose of the Study:
- To evaluate the safety and efficacy of mesosigmoplasty for sigmoid volvulus.
- To assess recurrence and mortality rates following mesosigmoplasty.
Main Methods:
- Prospective study of 126 patients with sigmoid volvulus over 12 years.
- Initial non-operative reduction via proctoscopy and rectal tube.
- Elective or emergency mesosigmoplasty performed based on reduction success.
Main Results:
- Non-operative reduction achieved in 38% of patients.
- Mesosigmoplasty performed in 126 patients (48 elective, 78 emergency).
- Low mortality (1 death in emergency group) and recurrence rates (2 recurrences in elective group) observed.
Conclusions:
- Mesosigmoplasty is a safe and effective treatment for sigmoid volvulus.
- The procedure demonstrates low rates of mortality, morbidity, and recurrence.
- Mesosigmoplasty is suitable for both emergency and elective management.