ABSTRACT
There are controversial opinions for management of left sided colonic obstruction. The orthodox surgeons prefer to do twice or triple sittings for the treatment of this situation. Because of the safety and avoid time consuming and cost-effectiveness, single staged colonic surgery is a safe and definitive procedure. From a period of four years duration between March 2000 to March 2004, 37 cases [22 men and 15 women] were under went to this single-typed technique for left sided colonic obstructive patients. We performed resection anastomosis [one layer] without fecal [bowel] diversion. The results were good and encouraging the surgeon to continue and perform this single-staged procedure for selected patients presented with left-sided colonic obstruction. This decreases the hospital stay, cost-effectiveness and reduce surgical intervention