Sigmoid volvulus treated by mini-incision

Definitive surgical management of sigmoid volvulus is usually via a midline laparotomy or laparoscopy. We report our experience with a series of five consecutive cases over a 10-year period. All patients had definitive surgery via a left iliac fossa mini-incision after prior decompression. For four...

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Bibliographic Details
Published in:Techniques in coloproctology 2014-12, Vol.18 (12), p.1169-1171
Main Authors: Seow-En, I., Seow-Choen, F.
Format: Article
Language:English
Subjects:
Abdominal Surgery
Adult
Aged
Aged, 80 and over
Colorectal Surgery
Decompression, Surgical
Female
Follow-Up Studies
Gastroenterology
Humans
Ilium - surgery
Intestinal Volvulus - surgery
Laparotomy - methods
Male
Medicine
Medicine & Public Health
Middle Aged
Proctology
Recurrence
Sigmoid Diseases - surgery
Surgery
Technical Note
Treatment Outcome
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Summary:Definitive surgical management of sigmoid volvulus is usually via a midline laparotomy or laparoscopy. We report our experience with a series of five consecutive cases over a 10-year period. All patients had definitive surgery via a left iliac fossa mini-incision after prior decompression. For four patients, it was the first episode of sigmoid volvulus and one patient had a recurrent sigmoid volvulus after previous sigmoid colectomy. The latter patient had pan colonic megacolon diagnosed at initial surgery. All five cases were surgically treated successfully via a mini-incision on the left iliac fossa. There were no instances of recurrence at a median follow-up duration of 95 months (range 7–132 months). A left iliac fossa mini-incision is sufficient for the definitive management of non-perforated sigmoid volvulus. Larger studies are warranted to draw definitive conclusions.
ISSN:1123-6337
1128-045X
DOI:10.1007/s10151-014-1230-0