Mesosigmoplasty as a definitive operation for sigmoid volvulus.
In a prospective study, 126 patients with sigmoid volvulus were treated by mesosigmoplasty during a 12-year period. Patients with sigmoid volvulus with no clinical evidence of gangrene were selected for study, and all were given a trial of non-operative reduction by proctoscopy and passage of a rectal tube. Reduction was achieved in 48 patients (38 per cent), who were subsequently treated by mesosigmoplasty as an elective procedure 1-2 weeks later. For the remaining 78 patients (62 per cent) who were not relieved by the non-operative method, emergency mesosigmoplasty was performed. There was one death in the emergency group, and two patients had a recurrence after 2 and 6 months respectively in the elective group, in whom resection was carried out. In the other 123 patients during a maximum follow-up of 12 (mean 8.2) years no recurrence was detected. Mesosigmoplasty has the advantage of low rates of mortality, morbidity and recurrence; it can be carried out as either an emergency or an elective procedure.
Subrahmanyam
M
M
Department of Surgery, Dr Vaishampayan Memorial Medical College, Maharashtra, India.
D000328:Adult; D000368:Aged; D004630:Emergencies; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000601:surgery*; D008297:Male; D008646:Mesocolon / Q000601:surgery*; D008875:Middle Aged; D010537:Peritoneum / Q000601:surgery*; D011446:Prospective Studies; D012810:Sigmoid Diseases / Q000601:surgery*