Resection and primary anastomosis with or without modified blow-hole colostomy for sigmoid volvulus.
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.
Coban
Sacid
S
Department of General Surgery, Gaziantep University School of Medicine, Gaziantep, Turkey. sacitcoban@yahoo.com
Yilmaz
Mehmet
M
Terzi
Alpaslan
A
Yildiz
Fahrettin
F
Ozgor
Dincer
D
Ara
Cengiz
C
Yologlu
Saim
S
Kirimlioglu
Vedat
V
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