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SURGICAL OUTCOME OF SIGMOID VOLVULUS BY PRIMARY ANASTOMOSIS AND RESECTION

Dr Hashir Ashraf, Dr Mateen Qaiser Butt, Dr Alina Majeed

Objective: To evaluate the outcome of resection and primary anastomosis in Sigmoid volvulus cases. Study Design: A prospective case series study. Place and Duration: In the Department of Surgery, Unit II of Services Hospital Lahore for one year duration from July 2017 to July 2018. Methodology: All patients with Sigmoid volvulus and data were collected from all of them. Laparotomy was performed to the patients after the related examinations and preparations. Resection in the large intestine and primary anastomosis were performed with double-layer interrupted sutures. Patients were followed up for four weeks to record postoperative complications. Results: The ages of 22 patients with sigmoid volvulus ranged from 48 to 70 years (mean age - 56.1 years). Men had dominance; The male to female ratio was 7: 1. One patient (4.5%) died from cardiac problems in the postoperative period. Four patients (18.2%) had wound infection and two patients (9.1%) had pelvic abscess; the second was rectally emptied with a satisfactory result. Conclusion: Resection and primary anastomosis have positive results in sigmoid volvulus. Key words: Intestinal resection, Volvulus sigmoid, wound infection, intestinal anastomosis, pelvic abscess.

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