[Radical surgical treatment of sigmoid volvulus]

The results of surgical treatment of 106 patients with sigmoid colon volvulus against the background of megacolon are set forth. The total lethality constituted 19%. The resection of the sigmoid colon was carried out upon 62 patients: one-step operation was performed upon 45 patients (of them 11 died--24.4%), 17 patients underwent the obstructive resection, of them 4 patients died (23.5%). In case of sigmoid colon gangrene lethality, following one-step resection of the sigmoid colon, constituted 26.5%, with the viable gut lethality was 18%. The detorsion of the sigmoid colon was carried out upon 44 cases of mesosigmoidopexy; the lethality was 11.4%.