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Acta médica Grupo Ángeles
Print version ISSN 1870-7203
Abstract
TORAL CHAN, Aldrim Isaac; VAZQUEZ HERNANDEZ, Ricardo and CASTILLO CASTELLANOS, Romeo. Experience during three years in a hospital center in urgent surgery of sigmoid volvulus. Acta méd. Grupo Ángeles [online]. 2019, vol.17, n.4, pp.354-357. Epub Sep 27, 2021. ISSN 1870-7203.
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.
Keywords : Sigmoid volvulus; peritonitis; Hartmann procedure.