DOI: 10.36347/sasjs.2023.v09i12.004

Pages: 970-976

Background: Sigmoid volvulus is a critical surgical condition characterized by the twisting of the sigmoid colon along its long axis, primarily affecting elderly male patients. The condition often necessitates surgical intervention to relieve the life-threatening obstruction. Objective: This study aimed to evaluate the outcomes of resection and primary anastomosis as the preferred surgical approach for uncomplicated sigmoid volvulus cases, excluding those with perforation or gangrene. Methods: A prospective observational study was conducted on 40 patients meeting specific criteria, involving structured data collection, hand-sewn resection, and primary anastomosis. Postoperative follow-ups were performed at 24 and 6 weeks, and data were analyzed using SPSS. Results: The study found a mean patient age of 56.25 years, with a predominant male population (male-to-female ratio: 9:1). Common symptoms included abdominal distension, constipation, colicky abdominal pain, vomiting, and urinary retention. Complications, observed in 27.5% of patients, included wound infections, wound dehiscence, anastomotic leakage, pelvic abscess, and prolonged paralytic ileus. A 95% survival rate was noted, with 80% of patients staying in the hospital for 10 days or more. The mean hospital stay was 10.77 days (range: 7-19 days). Conclusion: Resection and primary anastomosis is a safe and effective single-stage procedure for uncomplicated sigmoid volvulus cases, resulting in better outcomes, shorter hospital stays, and avoidance of a staged operation without increasing morbidity and mortality.