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Journal of Medicine and Biomedical Research
College of Medical Sciences, University of Benin
ISSN: 1596-6941
Vol. 3, No. 1, 2004, pp. 86-90
Bioline Code: jm04013
Full paper language: English
Document type: Research Article
Document available free of charge

Journal of Medicine and Biomedical Research, Vol. 3, No. 1, 2004, pp. 86-90

 en Emergency one-stage resection without mechanical bowel preparation for acute sigmoid volvulus
Oludiran, OO & Osime, OC

Abstract

The traditional staged operation for acute sigmoid volvulus is giving way to one-stage resection. Similarly, the conventional requirement for bowel cleansing is being increasingly questioned. In this report, we reviewed the outcome of our management over a ten-year period. There were 24 patients aged 23-100 years. Of these, 21 had one-stage primary resection with no clinical anastomotic leak and only one wound infection and fascial dehiscence. The two deaths from this group were due to respiratory failure in a patient aged 100 years and overwhelming sepsis in a younger patient with bowel gangrene from ileosigmoid knotting. We conclude that emergency one-stage resection for acute sigmoid volvulus without mechanical bowel preparation is safe.

Keywords
Sigmoid volvulus, bowel preparation, primary resection, anastomosis

 
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