Acute twisted bowel - management by resection and primary anastomosis
Journal Title: INTERNATIONAL JOURNAL OF RECENT TRENDS IN SCIENCE AND TECHNOLOGY - Year 2017, Vol 21, Issue 3
Abstract
Objective: To evaluate the outcome of resection and Primary Anastomosis in cases of Acute Sigmoid Volvulus. Methodology: This study was conducted in the Department of Surgery, M.G.M Medical College and L.S.K. Hospital, Kishanganj, Bihar, from August 2014 to September 2016. It included total 48 cases and the diagnosis was based on clinical features and radiological signs in plain X-ray abdomen. Resection and Primary Anastomosis were done. Post operatively, the patient were under observation for 10-14 days and later follow up for 4 weeks. Results: The age of 48 cases with Acute Sigmoid Volvulus ranged from 25- 75 years and all patients were from low socioeconomic rural background. Exploratory Laparotomy confirmed Acute Sigmoid Volvulus in 42 cases and Ileosigmoid knotting in 6 cases. Post operatively (20%) cases developed superficial wound infection, (4%) pelvic abscess, (4%) anastomosis leakage. There was no mortality reported. Conclusion: Primary colonic anastomosis may be undertaken safely when the history is short and the remaining bowel is well vascularized and nondistended. It is a single stage procedure with good outcome in terms of low morbidity and mortality.
Authors and Affiliations
Saumya . , Sharique Nizami, Rajeev Kumar Shaw, Saba Naz
Keywords
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