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Updated: Jun 13, 2026
07:22
Surgical Robot-Assisted Transanal Specimen Extraction Radical Sigmoidectomy Without an Auxiliary Abdominal Incision
Published on: June 13, 2025
[Management of sigmoid volvulus].
Brahim Ghariani1, Hichem Houissa, Farouk Sebai
1Hôpital La Rabta, Chirurgie B, Tunis.
La Tunisie Medicale
|April 27, 2010
Summary
Endoscopic detorsion followed by sigmoid resection is the preferred treatment for sigmoid volvulus. Urgent laparotomy is reserved for necrosis or endoscopic failure, with resection without immediate anastomosis for high-risk patients.
Area of Science:
- Gastroenterology
- Surgical Gastroenterology
- Colorectal Surgery
Context:
- Sigmoid volvulus is a common cause of large bowel obstruction, particularly in certain populations.
- Effective management strategies are crucial to reduce morbidity and mortality.
- This study reviews a decade of experience with sigmoid volvulus management.
Purpose:
- To report the experience and outcomes of sigmoid volvulus management.
- To evaluate the efficacy of different treatment modalities.
- To identify optimal surgical and endoscopic approaches.
Summary:
- A retrospective analysis of 40 sigmoid volvulus cases (1999-2008) was conducted.
- Treatments included endoscopic detorsion (23/26 successful) followed by resection, laparoscopic sigmoidectomy (5), and urgent laparotomy (17).
- Endoscopic detorsion with subsequent resection showed favorable outcomes, while urgent laparotomy was associated with higher mortality.
Impact:
- The findings support a combined endoscopic and surgical approach for sigmoid volvulus.
- This strategy can improve patient outcomes and reduce complications.
- Recommendations are provided for managing high-risk patients and those with complications.
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