ISRA MEDICAL JOURNAL p-ISSN: 2073-8285
e-ISSN: 2413-9289
A Quarterly Published Journal of Isra University, Pakistan
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الأحد 16 محرم 1444
Sunday 14th August 2022
Current Issue:
Volume 14 - Issue 1, Jan-Mar 2022
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Title:
Outcome of Sigmoid Colectomy in patients with recurrent Sigmoid Volvulus A single center experience from a Rural Hospital
Authors:
Tariro Gandiya, Saddaf Hina, Ahmed Usman Rafi, Kassem Alubaidi
Published on:
2022-01-31
Journal Reference:
Volume 14 - Issue 1     Jan - Mar 2022
Pages:
3-6
Download Abstract:
DOI:

ABSTRACT

Objective: To assess the outcomes of definitive surgical management (sigmoid colectomy) in recurrent sigmoid volvulus.

Study Design: Retrospective analytic study.

Place and Duration: Department of Surgery at Balfour Hospital, Orkney, Scotland from 1st September 2014 to 1st September 2021.

Methodology: Data of patients admitted with recurrent volvulus for three or more times and selected for surgery by a multiple disciplinary team retrieved.  The median follow up of 32 (5-60) months was analyzed. The demographic features of the patient, symptoms, and complications after surgery, number of admissions before and after surgery and patient quality of life before and after surgery were analyzed.

Results: A total of 33 patients were analyzed with an age ranges from 35 to 76 years with a median age of 55.5 years, M:F ratio of 12:2 and with duration of symptomatic volvulus 12 to 36 (median 24) months. Of the patients in the study, 24 patients had three previous admissions and 9 had more than three admissions with sigmoid volvulus that was managed conservatively. Complications experienced included post-operative ileus in 33.3%, wound infection 6%, and readmission with volvulus was 3.03% however 57.5% reported no complications.   

Conclusion: Our study concluded an excellent intermediate term outcome with very low clinical recurrence in patients who were offered definitive management following multiple admissions.  

Keywords: Sigmoid volvulus, Recurrent, Co-morbidities, Colectomy, Complications, Outcome

 How to Cite This:

Gandiya T, Hina S, Rafi AU, Alubaidi K. Outcome of Sigmoid Colectomy in patients with recurrent Sigmoid Volvulus. A single center experience from a Rural Hospital. Isra Med J. 2022; 14(1):3-6. DOI: https://doi.org/10.55282/imj.oa1313


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