Naseer Ahmed Baloch, Manzoor Ahmed Baloch.
Sigmoid volvulus : outcome of resection and primary anastomosis.
Pak J Surg Jan ;24(2):92-4.

Objective: To evaluate the outcome of resection and primary anastomosis in cases of sigmoid volvulus. Design & Duration: A prospective case series from January 2006 to December 2007. Setting: Department of Surgery, Bolan Medical Complex Hospital, Quetta. Patients: All patients who were found to have sigmoid volvulus. Methodology: The data of all the patients was collected. After relevant investigations and preparations, the patients underwent laparotomy. Resection and primary anastomosis of large intestine was done using double layer interrupted sutures. The patients were followed up for four weeks to record any postoperative complications. Results: The ages of the 22 cases with sigmoid volvulus ranged from 48-70 years (mean age - 56.1 years). There was a predominance of males; male to female ratio was 7:1. One (4.5%) patient died in the immediate postoperative period due to cardiac problem. Four (18.2%) patients developed wound infection and two (9.1%) pelvic abscess; the latter were drained per rectally with satisfactory outcome. Conclusion: Resection and primary anastomosis has favourable results in sigmoid volvolus.

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