Sigmoid volvulus and its management: a study of 38 cases

Abstract

Background: Sigmoid volvulus is one of the commonest causes of distal colonic obstruction. Early diagnosis and early surgical intervention reduces mortality and morbidity. Study design: Case series. Aim of the study: To study the incidence of intestinal obstruction, age distribution, procedures adopted in the management and post operative outcome. Methodology: This prospective study was conducted upon 38 patients diagnosed with sigmoid volvulus in surgical unit of our institute from November 2008 – October 2010. Results: 38 patients were with sigmoid volvulus, initially treated conservatively by initially passing a flatus tube and soap and water enema. All the cases were operated of which three underwent Sigmoidopexy, three underwent exteriorization, one underwent Hartmann procedure and others underwent primary resection and anastomosis. Post operative period was uneventful but for 3 cases (7.9%) who had fatal outcome. Recurrence was nil up to 3 months of follow-up. Conclusion: Early intervention by primary resection and end-to-end anastomosis is superior to all other procedures and can be safely employed with satisfactory results.