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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
One stage procedure in the management of acute sigmoid volvulus without colonic lavage
Surgeon, Volume 5, No. 5, Year 2007
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Description
Background: There is a growing acceptance of one-stage primary resection and anastomosis of left-sided colon obstruction with on-table antegrade colonic lavage to reduce the risk of post-operative infectious complications and anastomotic dehiscence. The purpose of this study was to evaluate the safety of single-stage resection and anastomosis for acute left-sided colonic obstruction due to acute sigmoid volvulus, without intraoperative colonic lavage, in a consecutive series of patients admitted to our department. Methods: Emergency resection of acute sigmoid volvulus was performed by an experienced senior surgeon (consultant grade). This was followed by primary anastomosis without on-table colonic lavage after a manual decompression. Results: A total of 21 patients underwent bowel decompression, resection and primary colorectal anastomosis. Two of the patients who had ileosigmoid knotting and gangrenous bowel had double resection with primary ileolleal and colorectal anastomosis. There were two superficial wound infections. No death or clinical anastomotic failure were recorded in this series. The mean hospital stay was 10.3 days. Conclusion: Our results suggest that resection of acute sigmoid volvulus and primary anastomosis after decompression alone can be carried out safely in reasonably fit patients. © 2007 Surgeon.
Authors & Co-Authors
Sule, Augustine Zoomsen
Nigeria, Jos
University of Jos
Misauno, Michael Ayedima
Nigeria, Jos
University of Jos
Opaluwa, A. S.
Nigeria, Jos
University of Jos
Ojo, Emmanuel O.
Nigeria, Jos
University of Jos
Obekpa, P. O.
Nigeria, Jos
University of Jos
Statistics
Citations: 34
Authors: 5
Affiliations: 1
Identifiers
Doi:
10.1016/S1479-666X(07)80023-0
ISSN:
1479666X
Research Areas
Health System And Policy