A Study Of Sigmoid Volvulus Presenting To A Tertiary Care Hospital At Peshawar

• ORIGINAL ARTICLE | ISSUE DETAILS: VOL NO.1 | ISSUE NO. 1

Abstract

Objective: The study’s goal was to identify the different surgical treatments for sigmoid volvulus and its postoperative complications in individuals who had this condition.

Methodology: 38 individuals with sigmoid volvulus who presented to the accident and emergency department were included in the research. All of the sufferers were taken in and looked into. The erect abdomen on the x-ray provided the basis for the diagnosis. Additionally, an x-ray, an ECG, urea, sugar, and S. electrolysis were performed. A nasogastric tube was inserted for gastric decompression after catheterizing each patient. Due to the lack of facilities for colonoscopic sigmoidscopic decompression and the failure of rectal tube decompressions, all patients were rehydrated and made ready for surgery.

Results: There were 26 (68.42%) men and 12 (31.58%) women among the sigmoid volvulus patients. The majority of the 18 cases (47.4%) were between the ages of 61 and 70. Eight patients (21.05%) suffered sigmoid colon gangrene; 15 patients (39.47%) had resection and colostomy; and 15 patients (39.47%) had resection and primary anastomosis. Five (13.15%) patients developed wound infections and one (2.6%) suffered wound dehiscence as surgical sequelae. Because to sepsis and cardiopulmonary problems, two (5.26%) individuals passed away.

Conclusion: Urgent laparotomies should be performed as quickly as feasible on patients who report with an acute abdomen. The gold standard treatment for stable people with sigmoid volvulus is colonoscopy. The preferred method is sigmoidectomy and primary anastomosis since it not only prevents a second hospitalization and surgery but also the adverse effects and maintenance of a stoma, which is a significant contributor to morbidity.