Özet:
To evaluate the efficacy of resection and primary
anastomosis (RPA) and RPA with modified blow-hole
colostomy for sigmoid volvulus.
METHODS: From March 2000 to September 2007,
77 patients with acute sigmoid volvulus were treated.
A total of 47 patients underwent RPA or RPA with
modified blow-hole colostomy. Twenty-five patients
received RPA (Group A), and the remaining 22 patients
had RPA with modified blow-hole colostomy (Group B).
The clinical course and postoperative complications of
the two groups were compared.
RESULTS: The mean hospital stay, wound infection
and mortality did not differ significantly between the
groups. Superficial wound infection rate was higher
in group A (32% vs 9.1%). Anastomotic leakage
was observed only in group A, with a rate of 6.3%.
The difference was numerically impressive but was
statistically not significant.
CONCLUSION: RPA with modified blow-hole
colostomy provides satisfactory results. It is easy
to perform and may become a method of choice in
patients with sigmoid volvulus. Further studies are
required to further establish its role in the treatment of
sigmoid volvulus.
