DOI: 10.36347/sjams.2015.v03i02.092

Pages: 991-994

Volvulus is twist (rotation) in the axis of the loop of bowel either clockwise or anticlockwise. The best management of sigmoid volvulus (commonest volvulus), still remains obscured. The aim of our study is to select the best feasible method out of single stage primary resection and anastomosis versus two stage de-functioning stoma approach. In this study, a total of 102 patients were selected who had undergone surgery for uncomplicated sigmoid volvulus in our institute, in last 10 years and were evaluated retrospectively. Primary resection and anastomosis was done in 68 patients, while sigmoid resection with Hartmann’s colostomy or double barrel colostomy was done in 34 patients. Second surgery for colostomy closure was done in 33 patients. We found no significant difference among the groups with respect to age, sex, re-surgery because of complications and mortality. Definitely, there was significant longer hospital stay for stoma group than in the other group. Primary sigmoid resection and anastomosis is practically feasible in uncomplicated sigmoid volvulus cases which are having no perforation or gangrene. It did not increase any morbidity and mortality rates, rather they required a shorter hospital stay with less financial constraints.