Pelvic colon volvulus: Results of one-stage versus two-stage colectomy at the University Hospital of Conakry

Diakité Saikou Yaya Diakité Saikou Yaya,Camara Alpha Kabinet Camara Alpha Kabinet,Camara Fode Lansana Camara Fode Lansana,Barry Alpha Madiou Barry Alpha Madiou,Diallo Biro Diallo Biro,Barry Thieno Ila Barry Thieno Ila,Camara Soriba Naby Camara Soriba Naby,Sylla Alpha Mamadou Sylla Alpha Mamadou,Touré Aboubacar Touré Aboubacar,Diallo Amadou Djoulde Diallo Amadou Djoulde,Sow Zakaria Sow Zakaria,Baldé Alpha Korse Baldé Alpha Korse,Diallo Abdoulaye Diallo Abdoulaye,Baldé Habiboulaye Baldé Habiboulaye,Doumbouya Bourlaye Doumbouya Bourlaye,Diallo Aissatou Taran Diallo Aissatou Taran

doi:10.30574/gscarr.2021.8.3.0198

Diakité Saikou Yaya Diakité Saikou Yaya, Camara Alpha Kabinet Camara Alpha Kabinet + Show 14 more

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https://doi.org/10.30574/gscarr.2021.8.3.0198

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Abstract

Introduction: The aim of this study was to evaluate the results of one-stage colectomy versus two-stage colectomy at Conakry University Hospital. Methods: This was a retrospective study conducted at the University Hospital of Conakry from January 1, 2015 to December 31, 2019. All patients hospitalized and operated on in the Ignace Deen General Surgery and Donka Visceral Surgery departments for pelvic colon volvulus (PCV) who underwent colectomy during the study period were included. Results: We collected 87 cases of pelvic colon volvulus (PCV). The average age was 45.71 years with extremes of 5 years and 80 years with a male predominance of 82.83% and a sex ratio of 5.18. The morbidity was marked by 2 cases of anastomotic fistulas, 7 cases of parietal suppuration and 1 case of peristomal hemorrhage. 4 cases of death were noted in two-stage colectomy and 2 cases in one-stage colectomy. Conclusion: The occurrence of morbidity and mortality was not related to the type of colectomy. As our study does not allow us to affirm the superiority of one technique over the other, we recommend considering a future dynamic study that would take into account a larger sample.

Highlights

The aim of this study was to evaluate the results of one-stage colectomy versus two-stage colectomy at Conakry University Hospital
The two-stage colectomy requires a colostomy while waiting for the restoration, which will be delayed for a few months [4]
Frequency of colectomy compared to other methods of treatment of pelvic colon volvulus: Colectomy was performed in 68 cases (78%)

Summary

Introduction

The aim of this study was to evaluate the results of one-stage colectomy versus two-stage colectomy at Conakry University Hospital. Corresponding author: Soriba Naby Department of visceral surgery, Friendship Hospital Sino Guinean Faculty of science and health technic, Gamal Abdel Nasser University of Conakry, Conakry Guinea. Surgical resection is accepted as the treatment of choice. It consists of a segmental colectomy or sigmoidectomy followed or not by restoration of digestive continuity [3]. One-stage colectomy is described as ideal and is followed by immediate restoration of bowel continuity. The two-stage colectomy requires a colostomy while waiting for the restoration, which will be delayed for a few months [4]. Morbidity and mortality rates for one-stage and two-stage colectomy vary in the literature [5,3, 6,7]

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