EXTRAPERITONEALIZATION FOR SIGMOID VOLVULUS: A REAPPRAISAL

Abstract

A prospective study was carried out in a university hospital to evaluate the results of extraperitonealization of the sigmoid colon in non‐gangrenous signioid volvulus. Eighty‐eight patients with non‐gangrenous sigmoid volvulus were operated upon using the technique of extraperitonealization of the sigmoid colon. There was no recurrence of the volvulus at I to 6 years follow up but 8 patients (9.1%) had constipation and 2 patients (2.2%) had distension of the lower abdomen. Extraperitonealization of the sigmoid colon is a reasonable non‐resection alternative for non‐gangrenous sigmoid volvulus and has minimal morbidity, mortality and no recurrence in our series. Copyright © 1995, Wiley Blackwell. All rights reserved