title: Sigmoid volvulus treated by mini-incision.
abstract: Definitive surgical management of sigmoid volvulus is usually via a midline laparotomy or laparoscopy. We report our experience with a series of five consecutive cases over a 10-year period. All patients had definitive surgery via a left iliac fossa mini-incision after prior decompression. For four patients, it was the first episode of sigmoid volvulus and one patient had a recurrent sigmoid volvulus after previous sigmoid colectomy. The latter patient had pan colonic megacolon diagnosed at initial surgery. All five cases were surgically treated successfully via a mini-incision on the left iliac fossa. There were no instances of recurrence at a median follow-up duration of 95 months (range 7-132 months). A left iliac fossa mini-incision is sufficient for the definitive management of non-perforated sigmoid volvulus. Larger studies are warranted to draw definitive conclusions.
authors.affiliation: Department of General Surgery, Singapore General Hospital, Singapore, Singapore, prawnfret@gmail.com.
authors.forename: I
authors.initials: I
authors.lastname: Seow-En
authors.forename: F
authors.initials: F
authors.lastname: Seow-Choen
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019299:Decompression, Surgical; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007085:Ilium / Q000601:surgery*; D045822:Intestinal Volvulus / Q000601:surgery*; D007813:Laparotomy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D012810:Sigmoid Diseases / Q000601:surgery*; D016896:Treatment Outcome