Resection and primary anastomosis with or without modified blow hole colostomy for sigmoid volvulus
Yükleniyor...
Dosyalar
Tarih
2008
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
World J Gastroenterol
Erişim Hakkı
info:eu-repo/semantics/openAccess
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.
Açıklama
Anahtar Kelimeler
Acute sigmoid volvulus, Anastomosis, Primary resection, Surgical technique
Kaynak
World J Gastroenterol
WoS Q Değeri
Scopus Q Değeri
Cilt
14
Sayı
36
Künye
Çoban, S. A. Yılmaz, M. Terzi, A. Yıldız, F. Dinçer, Ö. Ara, C. Yoloğlu, S. Kırımlıoğlu, V. (2008). Resection and primary anastomosis with or without modified blow hole colostomy for sigmoid volvulus. World J Gastroenterol. 14(36): 5590-5594.
