[Rectoromanoscopic correction of sigmoid volvulus]

The volvulus of the sigma is about 40% of all cases with colonic ileus. It is seen in men three times more frequently than in women and affects men in advanced and elderly age. Since 1985 in the Emergency Medical Aid Institute "N. Pirogov" an instrumental method is applied for the treatment of volvulus of the sigma, namely rectosigmoidal intubation under the control of the rectoscopic tube. In 15 cases the manipulation was successful, the volvulus was reversed and the patients were pulled out of the grave ileus condition. The clinical picture of the volvulus of the sigma is classic. The instrumental method can be applied only to patients without gata for an acute condition in the abdomen requiring immediate emergency operation. The instrumental treatment of the volvulus of the sigma prevents surgical interventions under unfavourable conditions for the patient. In elderly patients it may be a lifesaving manipulation.