Author/Authors :
Şen, Metin Cumhuriyet University - School of Medicine - Department of General Surgery, Turkey , Turan, Mustafa Cumhuriyet University - School of Medicine - Department of General Surgery, Turkey , Topçu, Ömer Cumhuriyet University - School of Medicine - Department of General Surgery, Turkey , Koyuncu, Ayhan Cumhuriyet University - School of Medicine - Department of General Surgery, Turkey , Karadayı, Kürşat Cumhuriyet University - School of Medicine - Department of General Surgery, Turkey , Aydın, Cengiz Cumhuriyet University - School of Medicine - Department of General Surgery, Turkey
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.
