Which is better in care of volvulus sigmoid colon? primary repair or double barrel colostomy

ABSTRACT

Volvulus refers to torsion of a segment of the alimentary tract, which often leads to bowel obstruction. Sigmoid volvulus is the most common form of volvulus of the gastrointestinal tract and this condition is responsible for 8% of all intestinal obstruction. Sigmoid volvulus is particularly common in elderly persons. To compare the outcome of double barrel colostomy versus primary repair after on table lavage in cases of volvulus of sigmoid colon. Comparative study. This study was conducted in the Department of Surgery, from April 2010 to September 2010 in Nishtar Hospital, Multan. This study was conducted in the Department of Surgery, from April 2010 to September 2010 in Nishtar Hospital, Multan. A total of 100 patients were included in the study. Majority of the patients in the age group 41-50 years. Out of 100 patients, 80 [80%] were male and 20 [20%] were female. Out of 100 patients, 40[40%] belonged to Baluchistan, while 30 [30%] from DG Khan, 10 [10%] from Sindh and remaining 20 [20%] from Multan. It is concluded from the study that morbidity and hospital stay was significantly lower in patients with Group-A [sigmoidectomy and primary anastomosis after on table lavage] as compared to group-B [sigmoidectomy + double barrel colostomy], so economic burden and morbidity related to colostomy can be prevented