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Sigmoid volvulus treated by mini-incision.

I Seow-En1, F Seow-Choen

  • 1Department of General Surgery, Singapore General Hospital, Singapore, Singapore, prawnfret@gmail.com.

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|November 5, 2014
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Summary
This summary is machine-generated.

Definitive surgical management of sigmoid volvulus can be achieved through a minimally invasive left iliac fossa mini-incision. This approach proved successful in five patients, with no recurrences observed during long-term follow-up.

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Area of Science:

  • Gastroenterology
  • Surgical Gastroenterology
  • Colorectal Surgery

Background:

  • Sigmoid volvulus is a common cause of large bowel obstruction.
  • Traditional surgical management often involves laparotomy or laparoscopy.
  • Minimally invasive techniques are increasingly explored for colorectal conditions.

Purpose of the Study:

  • To evaluate the efficacy and safety of a left iliac fossa mini-incision for definitive surgical management of sigmoid volvulus.
  • To assess long-term recurrence rates after this surgical approach.

Main Methods:

  • Retrospective review of five consecutive sigmoid volvulus cases over 10 years.
  • All patients underwent decompression followed by definitive surgery via a left iliac fossa mini-incision.
  • Median follow-up duration of 95 months.

Main Results:

  • Successful surgical treatment in all five patients using the mini-incision approach.
  • No instances of sigmoid volvulus recurrence observed.
  • One patient had recurrent volvulus after prior sigmoid colectomy and pan colonic megacolon.

Conclusions:

  • A left iliac fossa mini-incision is a sufficient and effective surgical option for definitive management of non-perforated sigmoid volvulus.
  • This minimally invasive approach offers a safe alternative with no observed recurrence.
  • Larger studies are recommended to confirm these findings.