Our experience with sigmoid colon volvulus
Abstract
Abstract
Aim. The aim of this retrospective study is to assess the mortality and morbidity after different types operations for sigmoid volvulus. Method. The results of surgical treatment of our patients with sigmoid volvulus were analyzed retrospectively. The patients were divided into two groups: Group-1: Single Stage Surgery (SSS) and Group-2: Hartmann’s Procedure (HP). Results. Total 51 patients aged 65.9 years in average (between 22-88 years) were included. In comparing the morbidity rates of SSS group to the HP group, it revealed no statistically significant differences. All died patients (12/51, 25.5%) were above 70 years old and had comorbidities. Overall, there were 12 patients (12/51, 23.52%) with sigmoid colon necrosis at exploratory laparotomy. While 4 of them were in SSS group, 8 of them were in HP group. Three of four (75%) sigmoid colon necrosis patients in SSS group, and 4 of 8 sigmoid colon necrosis patients in (50%) HP group were died. Conclusion. We want to notice that, there would be a high risk of complication, if the situation accompanies a sigmoid colon necrosis at laparotomy. Late admisson and patient’s negative general condition also play an important role in anastomosis safety.
Keywords: Sigmoid volvulus, Hartmann’s procedure, single stage surgery.
Özet
Amaç. Bu retrospektif çalışmanın amacı sigmoid volvulus tedavisinde gerçekleştirilen iki farklı yaklaşımın mortalite ve morbide üzerine farklılıklarını değerlendirmektir. Yöntemler. Sigmoid volvulus tedavisi uygulanan hastaların sonuçları retrospektif olarak irdelendi. Hastalar Grup-1: Tek aşamalı cerrahi ve Grup-2: Hartmann Yöntemi (HY) olmak üzere iki gruba ayrıldı. Bulgular. Yaş ortalaması 65.9 yıl (22-88 yıl) olan toplam 51 hasta çalışmaya dahil edilmiştir. Grup-1 ile Grup-2’nin morbidite ve mortalite sonuçlarının karşılaştırılması sonucunda istatistiksel olarak anlamlı bir sonuç çıkmamıştır. Kaybedilen tüm hastaların (n=12, %25,5) yandaş problemleri vardır ve yaşları 70 ve üzeridir. Hastaların 12’sinde (%23,52) laparotomide sigmoid kolon nekrozu ile karşılaşılmış ve bu hastaların 7’si (%58) kaybedilmiştir. Sonuç. Bu çalışmada vurgulamak istediğimiz en önemli şey laparotomide sigmoid kolon nekrozu ile karşılaşılmış ise komplikasyon oranının yüksek olacaği şeklindedir. Hastanın hastaneye başvuruda gecikmesi ve eşlik eden sorunlar anastomoz güvenliğinde önemli faktörlerdir.
Anahtar sözcükler: Sigmoid volvulus, Hartmann Yöntemi, tek aşamalı cerrahiKeywords
References
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Details
Primary Language
English
Subjects
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Journal Section
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Publication Date
June 27, 2013
Submission Date
May 1, 2012
Acceptance Date
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Published in Issue
Year 2013 Volume: 35 Number: 2