Mohammad Zarin, Israr Ahmed, Dastgeer Wahid, Viqar Aslam.
Management of Volvulus of sigmoid colon by resection and single layer primary Anastomosis.
J Surg Pak Jan ;8(3):2-4.

The objective of this study was to evaluate the outcome of resection and primary anastomosis in cases of sigmoid Volvulus. This study was conducted at District Headquarters Hospital Battagram from November 2001 to March 2003. Twenty eight Patients, who had sigmoid Volvulus at laparotomy as a cause of large gut obstruction, were included in this study and resection and single layer primary closure of the gut was done. The patients were followed for anastomosis related complications up. to 6 weeks. The ages of patients ranged from 45 to 65 years. Male to female ratio was 6:1. Resection and primary anastomosis of large intestine was done using single layer Gambee`s stitch. There was no mortality. No patient had leakage of anastomosis or peritonitis. Five patients (17.8 %) had wound infection and 7 patients (25%) had transient ileus. The hospital stay ranged form 7 21 days. We conclude that resection and single layer primary anastomosis has excellent results in sigmoid volvulus.

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