Gouda M El-Labban
Suez Canal University, Egypt
Posters & Accepted Abstracts: Surgery Curr Res
Introduction & Aim: The management of sigmoid volvulus remains controversial. We aimed to evaluate the postoperative outcome of patients with acute non-complicated sigmoid volvulus managed with resection and anastomosis without preoperative colonic lavage. Method: From January 2007 to December 2009, 40 patients with uncomplicated sigmoid volvulus underwent bowel decompression, resection and anastomosis without preoperative mechanical colonic preparation. Result: A total of 40 patients underwent the procedure, one patient developed anastomotic leak. Wound infection was reported in three patients, one death was a result of respiratory failure. Conclusion: Surgical management of sigmoid volvulus in one step without preoperative colonic lavage is a safe procedure and is recommended for acute cases.