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Interval Sigmoidectomy After Rigid Sigmoidoscope Reduction- a Safe Operation
Ajit Ronald G. Singh*
surgery, Evangelical Hospital,Khariar, Khariar, India
BACKGROUND
Sigmoid volvulus is one of the most common cause of large bowel obstruction in the Indian sub continent, especially in the eastern region of India. It accounts for nearly 50% of all large bowel obstruction.
METHOD
The record of 170 patients were reviewed who were operated in the past 12 years with sigmoid volvulus.
FINDING
The mean age was 41.9 years (6- 85years) and 88 patients were females(52%). Abdominal
distention (99%) and constipation (91.2%) were the most common symptoms, while (70.6%) had pain, (30.2%) vomiting ,(8.8%) had fever and (23.6%) patients had recurrent episodes of volvulus. Duration of symptoms ranged from 1-30 days. Sigmoidoscopic reduction of volvulus with rigid sigmoidoscope and flatus tube was done in 107(63%) patients, 63 of whom underwent open interval sigmoid colectomy .
RESULTS
No mortality following sigmoidoscopic reduction of volvulus in 107 patients.
No mortality in the group where interval sigmoidectomy was performed in 63 patients.
Conclusion
Interval sigmoid colectomy is a safe operation with minimal morbidity/mortality.
Sigmoidoscopic reduction of volvulus is a safe,quick non operative intervention
which can be applied to all clinically/radialogically suspected sigmoid volvulus without gangrene or perforation.
This procedure can be performed safely in rural health care centres.
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