PATIENT SAFETY IN THE SURGICAL TREATMENT OF THE SIGMOID VOLVULUS
Keywords:
sigmoid volvulus, sigmoidectomy, colopexyAbstract
One of the rare conditions in the emergency medicine, leading to an ileus, is the sigmoid volvulus. The non-recognition and delayed treatment of this condition is accompanied by high morbidity and mortality rates. The conservative and endoscopic treatment are related by a high risk of relapse. Nowadays, in the literature, there is still no unitary standpoint for the choice of operative intervention for this disease. The options vаry from performing a simple detorsion to resection with or without a colostomy.
Purpose of our study is to examine the safety and feasibility of the different types of surgical techniques for the operative treatment of the sigmoid volvulus in adults.
In the present paper we examined the period from september 2012 to september 2020 for the operated patients with established sigmoid volvulus, in the Surgical Department of UMHAT “Eurohospital Plovdiv”. During this period, there were 16 patients. We used laparoscopic approach in 7 of them, and from them, we had 4 conversions. The received data we analyzed by a several main criteria: type of operation, early and late complications, hospital stay length.
The sigmoid volvulus in adults requires immediately diagnosis and treatment. In cases with absence of severe complications, resection with primary anastomosis is accompanied by good postoperative results. We consider that the minimally invasive surgery for this pathology, should be perform only by experienced teams and for well selected patient.
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