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
Related Articles
- EP ID EP496733
- DOI -
- Views 112
- Downloads 0
Study of Cephalic Index in South Gujarat
Cephalic Index is race and sex specific parameter. Cephalic Index is different in various racial groups. The present study was determined to identify Cephalic Index of South Gujarat population and compare it with the ava...
A study of estrogen and progesterone receptor status in breast carcinoma and its correlation with tumor grading
Introduction: Rise in the incidence of breast cancers in India. Objective: 1. To determine the ER and PR status in unselected breast malignancy cases. 2. Correlate them with modified Bloom and Richardson grading. Materia...
A 5 year retrospective study of pattern of maternal mortality in a tertiary care hospital in South India
Introduction: Maternal mortality remains one of the most daunting public health problems in India. Even today 20% of global maternal deaths occur in India. The total maternal deaths in India are around 63,000 a year, app...
Ayurvedic importance of the process of anulepana in sanskrit plays
Ayurveda has been a part of Indian culture since ages. We often tend to ignore the hidden secrets bestowed on us by our ancestors. There are many amazing Ayurvedic herbs for skin available that helps in improving the tex...
Profiling of two-wheeler related fatal accident cases autopsied at the union territory of India – Puducherry
Background: Road traffic accidents are considered to be one of the leading causes of disabilities and mortalities all over the world. Two wheeler accidents are quite common in developing countries and effective measures...