Extraperitonealization for sigmoid volvulus: a reappraisal.
A prospective study was carried out in a university hospital to evaluate the results of extraperitonealization of the sigmoid colon in non-gangrenous sigmoid volvulus. Eighty-eight patients with non-gangrenous sigmoid volvulus were operated upon using the technique of extraperitonealization of the sigmoid colon. There was no recurrence of the volvulus at 1 to 6 years follow up but 8 patients (9.1%) had constipation and 2 patients (2.2%) had distension of the lower abdomen. Extraperitonealization of the sigmoid colon is a reasonable non-resection alternative for non-gangrenous sigmoid volvulus and has minimal morbidity, mortality and no recurrence in our series.
Khanna
A K
AK
Department of Surgery, Banaras Hindu University, Varanasi, India.
Misra
M K
MK
Kumar
K
K
D000293:Adolescent; D000328:Adult; D000368:Aged; D000667:Ampicillin / Q000627:therapeutic use; D003082:Colectomy / Q000379:methods; D004359:Drug Therapy, Combination / Q000627:therapeutic use*; D017558:Elective Surgical Procedures; D005260:Female; D005500:Follow-Up Studies; D005839:Gentamicins / Q000627:therapeutic use; D006801:Humans; D007415:Intestinal Obstruction / Q000601:surgery*; D008297:Male; D008795:Metronidazole / Q000627:therapeutic use; D008875:Middle Aged; D010149:Postoperative Pain / Q000453:epidemiology; D010537:Peritoneum / Q000601:surgery; D011183:Postoperative Complications; D011292:Premedication; D011446:Prospective Studies; D012008:Recurrence; D012810:Sigmoid Diseases / Q000601:surgery*
D005839:Gentamicins; D008795:Metronidazole; D000667:Ampicillin