A COMPARATIVE STUDY OF DETORSION AND SIGMOIDOPEXYVS RESECTION AND ANASTOMOSIS FOR SURGICAL MANAGEMENT OF SIGMOID VOLVULUS.

DR.M H C PRAGNA SREE; DR Y PRABHAKAR RAO

Volume : VII, Issue : VI, June - 2018

A COMPARATIVE STUDY OF DETORSION AND SIGMOIDOPEXYVS RESECTION AND ANASTOMOSIS FOR SURGICAL MANAGEMENT OF SIGMOID VOLVULUS.

Dr. M H C Pragna Sree, Dr Y Prabhakar Rao

Abstract :

BACKGROUND

Sigmoid volvulus is an acute surgical emergency. Modalities of surgery for the management of sigmoid volvulus are Detorsion& Plication { Sigmoidopexy }, Resection & Anastomosis, Resection & Colostomy.{Haartmans procedure}.

AIM

To compare and contrast the two surgical procedures namely detorsion&sigmoidopexyVs Resection and Anastomosis for surgical management of sigmoid volvolus in terms of recurrences, mortality, duration of hospital stay andPost operative complications.

MATERIALS AND METHODS

It is a prospective study of 16 cases of sigmoid volvolus which presented to Emergency Department of NRI Medical college Hospital, Guntur in a period of 2 years.

STATISTICAL ANALYSIS

In this study we used FISCHERS EXACT TEST to know it is statistically significant and P value was 0.0373 which is statistically significant.

RESULTS

37.5% undergoing sigmoidopexy showed recurrence whereas 12.5% of those undergoing resection and anastamosis showed recurrence.

CONCLUSION

Fixation of sigmoid colon in the form of sigmoidopexy is associated with high recurrence rate. Unless general condition precludes ,fixation of sigmoid colon should not be done as it is associated with high recurrence rate. Sigmoidopexy should be definitely followed by elective sigmoid resection.