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Related Experiment Videos

Extraperitonealization for sigmoid volvulus: a reappraisal

A K Khanna1, M K Misra, K Kumar

  • 1Department of Surgery, Banaras Hindu University, Varanasi, India.

The Australian and New Zealand Journal of Surgery
|July 1, 1995
PubMed
Summary

Extraperitonealization of the sigmoid colon is a safe and effective treatment for non-gangrenous sigmoid volvulus, offering a low-recurrence alternative to resection with minimal complications.

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Area of Science:

  • Gastroenterology
  • Surgical Procedures
  • Colorectal Surgery

Background:

  • Sigmoid volvulus is a common cause of large bowel obstruction.
  • Traditional surgical options like sigmoid resection carry significant morbidity.
  • Non-resectional techniques are sought for managing non-gangrenous sigmoid volvulus.

Purpose of the Study:

  • To evaluate the efficacy and outcomes of sigmoid colon extraperitonealization.
  • To assess the recurrence rates, morbidity, and mortality associated with this procedure.
  • To determine if extraperitonealization is a viable alternative to sigmoid resection.

Main Methods:

  • Prospective study conducted at a university hospital.
  • Eighty-eight patients with non-gangrenous sigmoid volvulus underwent sigmoid colon extraperitonealization.

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  • Follow-up ranged from 1 to 6 years to assess long-term outcomes.

    • Main Results:

    • No recurrence of sigmoid volvulus was observed in any patient during follow-up.
    • Minor complications included constipation in 9.1% and lower abdominal distension in 2.2% of patients.
    • The procedure demonstrated minimal morbidity and mortality.

    Conclusions:

    • Sigmoid colon extraperitonealization is a safe and effective non-resectional treatment for non-gangrenous sigmoid volvulus.
    • It offers a low-recurrence rate and minimal complications compared to resection.
    • This technique represents a reasonable alternative for managing sigmoid volvulus.