Abstract

CAMPOS-BADILLO, Julio Adán et al. Mesosigmoidoplasty: an alternative technique for sigmoid volvulus in critically ill patients. Cir. gen [online]. 2019, vol.41, n.4, pp.300-306.  Epub Nov 27, 2020. ISSN 1405-0099.

Sigmoid volvulus is a rare but potentially life threatening condition in elderly patients undergoing sigmoid colon resection and primary anastomosis. Mesosigmoidoplasty is a non-resective procedure for viable sigmoid volvulus with low rates of mortality and morbidity. Here, we report a mesosigmoidoplasty based on the modification by Olaf Beach to treat a sigmoid volvulus in a 89-year-old woman in critical state. Total operation time was less than a hundred minutes. Three days in Critical Care Unit and the postoperative recovery was uneventful. Hospital stay was seven days. There was no recurrent volvulus during a follow-up of one year. According to the concept of Olaf Beach about to correct the factor of narrow and long mesosigmoid, this procedure may be considered as a more simple and safe alternative to treat sigmoid volvulus in elderly critical patients.

Keywords : Intestinal volvulus; colon; sigmoid; abdomen; acute; sigmoid diseases.

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