Acute sigmoid volvulus: Results of surgical treatment in the teaching hospitals of Bamako

Acute sigmoid volvulus: Results of surgical treatment in the teaching hospitals of Bamako

Summary Objective The aim was to evaluate the results of surgical treatment of occlusion of the sigmoid colon due to volvulus. Patients and Methods This was a retrospective study from 1996 to 2010 of all patients undergoing surgery for sigmoid volvulus in surgical wards of the University Hospital of...

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Bibliographic Details
Published in:Journal of visceral surgery Vol. 151; no. 2; pp. 97 - 101
Main Authors: Traoré, D, Sanogo, Z.Z, Bengaly, B, Sissoko, F, Coulibaly, B, Togola, B, Traoré, I, Goïta, D, Keïta, S, Togo, A.P, Diallo, G, Sangaré, D, Ongoïba, N, Koumaré, A.K
Format: Journal Article
Language:English
Published: France 01-04-2014
Subjects:
Acute Disease
Adolescent
Adult
Aged
Aged, 80 and over
Colostomy
Comorbidity
Female
Hospitals, Teaching
Humans
Intestinal Volvulus - mortality
Intestinal Volvulus - surgery
Male
Mali
Middle Aged
Retrospective Studies
Sigmoid Diseases - mortality
Sigmoid Diseases - surgery
Surgery
Treatment Outcome
Mali
Volvulus
Surgery
Mortality
Sigmoid
Morbidity
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Summary:Summary Objective The aim was to evaluate the results of surgical treatment of occlusion of the sigmoid colon due to volvulus. Patients and Methods This was a retrospective study from 1996 to 2010 of all patients undergoing surgery for sigmoid volvulus in surgical wards of the University Hospital of Bamako. Results A total of 417 patients were identified including 379 men and 38 women. The mean patient age was 45.7 ± 18.3 years. The general condition of the patients was good in 70.5% and altered in 29.5% of cases. Colonic necrosis was present in 80 patients (19.2%). Single-stage resection with immediate anastomosis was performed in 149 patients (35.73%). Two-stage surgery was performed in 268 cases (64.27%). The initial stage of the two-stage procedure was colostomy in 167 cases and simple detorsion in 101 cases. The surgical approach had an impact on mortality in patients who were in poor general condition. Single-stage surgery resulted in higher mortality (12/149; 8.05%) than two-stage surgery (5/268; 1.87%), and the difference was statistically significant ( P = 0.0005). Conclusion Single-stage surgery for sigmoid volvulus carries a high risk of death when it is performed in patients with poor general condition. Indications for surgery must take into account the patient's general condition and the viability of the torsed sigmoid colon.
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ISSN:1878-7886
1878-7886
DOI:10.1016/j.jviscsurg.2014.01.010