Resection and primary anastomosis with or without modified blow-hole colostomy for sigmoid volvulus
Küçük Resim Yok
Tarih
2008
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
W J G Press
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
AIM: 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 13). 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. (C) 2008 The WJG Press. All rights reserved.
Açıklama
Anahtar Kelimeler
acute sigmoid volvulus, anastomosis, primary resection, surgical technique
Kaynak
World Journal of Gastroenterology
WoS Q Değeri
Q3
Scopus Q Değeri
Q1
Cilt
14
Sayı
36
