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2019, Number 4

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Acta Med 2019; 17 (4)

Experience during three years in a hospital center in urgent surgery of sigmoid volvulus

Toral CAI, Vázquez HR, Castillo CR

Language: Spanish
References: 14
Page: 354-357
PDF size: 169.35 Kb.


ABSTRACT

Objective: To communicate our experience in emergency surgical management of sigmoid volvulus. Material and methods: A retrospective and observational study of patients with sigmoid volvulus who underwent emergency surgery, from March 2016 to February 2019 was performed. Demographic, preoperative and postoperative variables were analyzed. Results: Ten patients were studied. Patients had a median age of 63 years. The most common comorbidity was neuropsychiatric disorders (50%). Seventy seven percent of cases were admitted with clinical signs of intestinal obstruction and peritonitis. Diagnosis was confirmed by plain abdominal radiograph in 90% of cases. Hartmann procedure was performed in 80% of patients. The main postoperative complication was surgical site infection (40%). Conclusion: In relation to emergency surgical management, Hartmann procedure is indicated in patients with septic shock.


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