A Study on Sigmoid Volvulus presentation and Management
Journal Title: International Journal of Allied Medical Sciences and Clinical Research - Year 2014, Vol 2, Issue 1
Abstract
A study on sigmoid volvulus presentation and management was a 2 yr retrospective study done at RMMCH.The diagnosis of sigmoid volvulus was made from a history of large bowel obstruction (constipation, abdominal distension, and abdominal pain), which were often recurrent and plain abdominal radiographs.The morbidity associated is Superficial wound infection occurred in four patients. All the infected wounds eventually healed with conservative measures. Clinical anastomotic dehiscence was noted in 1 patient for which during relaparotomy proximal colostomy and mucous fistula was done. The mortality associated is shown is there were 9 deaths of which 7 were due to sepsis and 2 were due to comorbid illness. Two out of eight patients for whom a colopexy was done had a recurrent attack of sigmoid volvulus. The duration of hospital stay ranged between 10 and 21 days. Use of sigmoidoscopic detorsion for viable colon should be encouraged. Sigmoidopexy, which is associated with a recurrence rate of 20% in our series of patients, should be used selectively.Hartmann’s procedure is a safe option in sigmoid volvulus with gangrenous bowel.Primary anastomosis in emergency situation can be carried out with morbidity and mortality in patients with viable colon.
Authors and Affiliations
N. Junior Sundresh
Keywords
Related Articles
- EP ID EP416988
- DOI -
- Views 63
- Downloads 0
The De Ritis (AST/ALT) ratio in alcohol dependence syndrome with and without alcoholic liver disease
Introduction Alcoholism is characterized by an impaired control over drinking, preoccupation with alcohol and use of alcohol despite adverse consequences. Alcohol consumption is associated with a number of changes in cel...
Bolus silicone rubber with 2% silica composite for radiotherapy application
Bolus is a device in external radiotherapy to increase a surface dose using electron beam. In this research, bolus was synthesized using silicone rubber (SR) and silica composite with dimension of 12 cm x 12 cm x 0.5 cm....
Marcus Gunn Jaw Winking Phenomenon
Marcus Gunn Jaw Winking Phenomenon (MGJWP) is a synkinetic phenomenon which can be congenital or acquired in certain cases, presenting unilaterally or bilaterally and could also be present without ptosis. Patient usually...
Potential of seed leaves (psidii folium) extracts as alternative materials on changes in hemoglobin and ferritin levels in youth teenage (Case study in bakhti nusantara vocational school)
Background Anemia is a health problem throughout the world, especially in developing countries. The incidence of anemia in adolescent girls is 57.1%. Management of anemia was carried out by administering Fe tablets, but...
Correlation between abdominal muscle strength and pulmonary function in subjects with low back pain
Low back pain is a broad term encompassing pain, muscle tension, or stiffness localized below the costal margin and above the inferior gluteal folds. Reviewing of previous studies shows that low back pain is partly cause...