A Rural Center Study of Sigmoid Volvulus
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2018, Vol 6, Issue 4
Abstract
Background: Sigmoid volvulus is a condition in which the sigmoid colon wraps around itself and its own mesentery, causing a closed-loop obstruction. It is the second common cause of intestinal obstruction and surgical emergency in elderly and its mortality remains significant in patients with late diagnosis. Usually, they present with sudden pain abdomen, distention, constipation, and not passing flatus. Delay in diagnosing and intervention leads to serious complications such as intestinal obstruction, bowel gangrene, perforation, peritonitis, and sepsis and may be fatal. Materials and Methods: Between May 2015 and May 2018, 20 patients of sigmoid volvulus, who reported to the Department of General Surgery, Rajah Muthiah Medical College and Hospital, were included in the study. The aim of this work is to assess the etiological factors which predispose to the sigmoid volvulus, the clinical presentations, modes of remedy, treatment outcomes, and complications in our rural population. Results: Majority of the sigmoid volvulus occurred in the age group of above 50 years with male predominance. Almost all sufferers had mixed diet more of non-vegetarian food. Most of them belonged to poor socioeconomic group. The overall mortality was 35% in this series. Conclusion: Sigmoid volvulus is the second common cause of intestinal obstruction in elderly males in this region accounting for 40% of large bowel obstruction cases. The mortality of patients affected by sigmoid volvulus is related to the disease stage, prompt surgical timing, functional status of the patient, and his collaboration with the clinicians in the pre-operative decision-making process. Mortality is higher in both obstructed patients with generalized peritonitis and patients affected by subocclusion with late diagnosis and surgical treatment; in both scenarios, a Hartmann’s procedure is the proper operation to be considered.
Authors and Affiliations
P Ravisankar, G Ashok Swaminathan, A Anvar Ali, D Gopikrishna
Keywords
Related Articles
- EP ID EP480479
- DOI -
- Views 121
- Downloads 0
Isolation of Methicillin-resistant Staphylococcus aureus from Neonatal Sepsis at a Tertiary Care Hospital
Introduction: Septicemia is the significant cause of morbidity and mortality in the neonates and is responsible for 30-50% of total neonatal deaths .Each year in developing countries. It is estimated that 20% of all neon...
A Non-randomized Control Trial Study on the Outcome of Percutaneous Release of Tennis Elbow
Background: Lateral epicondylitis or tennis elbow is considered one of the most frequent types of myotendinosis of the upper extremity. Both conservative and surgical treatments are available. A simple surgical method ad...
Analysis of the Prevalence of Bronchial Asthma in 6-17 Years Old Urban School Children Belonging to Lower Middle Class and Lower Income Groups
Background: Asthma has become an important public health problem. Asthma is one of the leading causes of hospitalization in children. Childhood asthma is mostly underdiagnosed and also undertreated. Prevalence of bronchi...
A Gender-based Comparative Study of Visual and Auditory Reaction Time on 1st Year Medical Students “Before” and “After” Caffeine Intake
Introduction: The present study is a gender-based comparison of the auditory and visual reaction time (RT) in male and female 1st year medical students, before and after the administration of caffeine present in coffee....
Feto-maternal Outcome in Placenta Previa in Scarred versus Non-scarred Uterus
Introduction: Placenta previa complicates 0.3–0.5% of all pregnancies and is a major cause of third-trimester hemorrhage. It affects both mother and fetus; therefore, it is important to study this condition and its compl...