The management of sigmoid volvulus.
The epidemiology and clinical pattern of sigmoid volvulus are well defined. Although clinical manifestations of acute volvulus are often clear-cut, diagnostic doubt is not uncommon and, if gangrene supervenes, mortality rises appreciably. While gangrene requires resectional surgery, the management of the viable colon related to a volvulus episode has a variety of options. These, particularly non-resectional alternatives, require more critical reappraisal in the light of advances in minimally invasive techniques.
Madiba
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TE
Department of Surgery, University of Natal, Durban, South Africa.
Thomson
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SR
D000208:Acute Disease; D000465:Algorithms; D000714:Anastomosis, Surgical; D003125:Colostomy; D005734:Gangrene / Q000601:surgery; D006801:Humans; D007415:Intestinal Obstruction / Q000175:diagnosis / Q000601:surgery*; D019060:Minimally Invasive Surgical Procedures; D012810:Sigmoid Diseases / Q000175:diagnosis / Q000601:surgery*; D012812:Sigmoidoscopy