Sigmoid volvulus and its management: a study of 38 cases
Journal Title: International Journal of Medical Research and Review - Year 2016, Vol 4, Issue 9
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.
Authors and Affiliations
Goparaju Shanti Kumar, Araboina Upender, Dodda Ramesh Kumar, Sheelam Kalavathi
Keywords
Related Articles
- EP ID EP230989
- DOI 10.17511
- Views 122
- Downloads 0
A seven-year study about the epidemiology of smoking, alcohol, drugs and psychotropic consumption along with legal abortion in cases referred to forensic medicine centers in Fars since 2007-2013
Introduction: Smoking, alcohol, and drugs consumption has increased among the women of child-bearing age. This rise and its negative consequences on the children's health have been considered by planners and WHO health c...
Histopathological study of breast lesions
Abstract Objectives: To study the histopathological features of neoplastic and non neoplastic lesions of breast. To correlate the pathological findings with clinical parameters. Design and methods: We have studied total...
Spectrum of CT findings in gall bladder carcinoma patients in north Indian population
Gallbladder cancer is the most common malignancy of the biliary tract, representing 80% - 95% of biliary tract cancers worldwide [1]. It ranks fifth among gastrointestinal cancers [2]. In India, gall bladder cancer is m...
Comparison of two different doses of Epidural Butorphanol in Lower Limb Orthopedic Surgery
Introduction: Epidural and spinal anaesthesia both are effective alternative to general anaesthesia when surgical site is located in lower extremities. When post operative analgesia is required epidural anaesthesia is th...
Comparative study of recurrence after pterygium excision with conjunctival autografting and amniotic membrane transplantation
Introduction: Pterygium is ocular surface lesion thought to originate from damage to limbal stem cells by chronic ultra violet light exposure. It has high recurrence rates following resection. Both amniotic membrane and...