title: Resection and primary anastomosis with or without modified blow-hole colostomy for sigmoid volvulus.
abstract: OBJECTIVE
  To evaluate the efficacy of resection and primary anastomosis (RPA) and RPA with modified blow-hole colostomy for sigmoid volvulus.
  
  
  METHODS
  From March 2000 to September 2007, 77 patients with acute sigmoid volvulus were treated. A total of 47 patients underwent RPA or RPA with modified blow-hole colostomy. Twenty-five patients received RPA (Group A), and the remaining 22 patients had RPA with modified blow-hole colostomy (Group B). The clinical course and postoperative complications of the two groups were compared.
  
  
  RESULTS
  The mean hospital stay, wound infection and mortality did not differ significantly between the groups. Superficial wound infection rate was higher in group A (32% vs 9.1%). Anastomotic leakage was observed only in group A, with a rate of 6.3%. The difference was numerically impressive but was statistically not significant.
  
  
  CONCLUSIONS
  RPA with modified blow-hole colostomy provides satisfactory results. It is easy to perform and may become a method of choice in patients with sigmoid volvulus. Further studies are required to further establish its role in the treatment of sigmoid volvulus.
authors.affiliation: Department of General Surgery, Gaziantep University School of Medicine, Gaziantep, Turkey. sacitcoban@yahoo.com
authors.forename: Sacid
authors.initials: S
authors.lastname: Coban
authors.forename: Mehmet
authors.initials: M
authors.lastname: Yilmaz
authors.forename: Alpaslan
authors.initials: A
authors.lastname: Terzi
authors.forename: Fahrettin
authors.initials: F
authors.lastname: Yildiz
authors.forename: Dincer
authors.initials: D
authors.lastname: Ozgor
authors.forename: Cengiz
authors.initials: C
authors.lastname: Ara
authors.forename: Saim
authors.initials: S
authors.lastname: Yologlu
authors.forename: Vedat
authors.initials: V
authors.lastname: Kirimlioglu
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000714:Anastomosis, Surgical; D003082:Colectomy / Q000009:adverse effects; D003125:Colostomy / Q000009:adverse effects; D005260:Female; D006801:Humans; D045822:Intestinal Volvulus / Q000401:mortality / Q000601:surgery*; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D012810:Sigmoid Diseases / Q000401:mortality / Q000601:surgery*; D013530:Surgical Wound Infection / Q000209:etiology; D016896:Treatment Outcome