Management of acute sigmoid volvulus; one stage versus two stages procedures

ABSTRACT

In a prospective comparative study, 14 patients [group A] with acute sigmoid volvulus had a primary resection of the redundant sigmoid colon with an immediate anastomosis after intraoperative colonic irrigation and 12 patients [group B] had conventional resection of the redundant sigmoid colon and double barrel colostomy in the left iliac fossa, followed by revision that was preceded by conventional bowel preparation. The results of this study suggested that the resection of acute sigmoid volvulus and primary anastomosis after antegrade intraoperative colonic lavage was a safe procedure