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[Anatomical study of pelvic colon]
Y E James1, B Tchangai2, I Kassegne2
1Laboratoire d'anatomie, faculté des sciences de la santé, BP 1515, Lomé, Togo; Service de chirurgie orthopédie, CHU Sylvanus Olympio, BP 57, Lomé, Togo.
Objectives:
Identifying the different kinds of anatomical sigmoid colon in our environment and determine what exposes the most to the occurrence of pelvic colon volvulus.
Materials And Methods:
This is a transverse prospective study from 1 January 2007 to 31 December 2012 on a series of 63 patients (33 men and 30 women) who underwent laparotomy for non-colonic pathologies. For all patients, the following parameters were recorded: C1: total length of the pelvic colon; C2: the length of the root of the meso-sigmoid; C3: the height of the meso-sigmoid; C4: maximum width of the meso-sigmoid.
Results:
C1 through the entire series was 61,3cm. C2 average was 5.5cm. C3 height and maximum width C4 were on average 14,6cm and 7.6cm, respectively. Comparison of parameters in men and women showed no significant difference.
Conclusion:
This study allows us to know the different types of pelvic colons among the population of our operated patients. The measurements performed on the pelvic colon of patients presenting volvulus will help to attribute objectively the true authorship of this surgical emergency to an anatomical type of pelvic colon.
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